Organization Active NPI

Andrew F. Phillips MD, Inc.

  • Low Vision Rehabilitation Optometrist
  • Arcadia, CA
National Provider Identifier
1578629366
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
G78557 Issued in CA
Legal business name
ANDREW F. PHILLIPS MD, INC.
Practice address
301 W Huntington Dr
Suite 605
Arcadia, CA 91007-3462
Phone
(626) 446-1600
Fax
(626) 446-9986
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Fisher Phillips, M.D.NPI 1366522427
Title
Owner
Phone
(626) 446-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X G78557 CA Primary

Addresses

Primary practice location

301 W Huntington Dr
Suite 605
Arcadia, CA 91007-3462

Mailing address

301 W Huntington Dr
Suite 605
Arcadia, CA 91007-3462
Phone (626) 446-1600

Other names 1

  • Phillips Eye Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050203001007 CA Part B Supplier - Clinic/Group Practice 1658322904 Receives reassigned benefits from 2 practitioners
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

301 W Huntington Dr
Ste 605
Arcadia, CA 91007
Phone (626) 446-1600

466 Foothill Blvd
Ste 362
La Canada Flintridge, CA 91011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1578629366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "SUITE 605",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-446-1600",
            "fax_number": "626-446-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HUNTINGTON DR",
            "address_2": "SUITE 605",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073462",
            "telephone_number": "626-446-1600",
            "fax_number": "626-446-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW F. PHILLIPS MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "FISHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-446-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "G78557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Eye Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.