Individual provider Active NPI

Phyllis E Chambers, D.O.

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1598842676
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I30001162 Issued in DE
Practice address
1401 Silverside Rd
Suite C
Wilmington, DE 19810-4400
Phone
(302) 475-3346
Fax
(302) 529-1526
NPI assigned
Nov 1, 2006
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I30001162 DE Primary

Addresses

Primary practice location

1401 Silverside Rd
Suite C
Wilmington, DE 19810-4400

Mailing address

2323 Pennsylvania Ave
Ste 2a
Wilmington, DE 19806-1332
Phone (302) 475-3346

Other identifiers 1

IdentifierTypeStateIssuer
0000202922MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110226000067 DE Practitioner - Optometry 3779764527 Reassigns benefits to 1 organization
Practice locations: Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nemours FoundationGroup PAC ID 9537072483, 249 clinicians

Practice addresses (Care Compare)

1801 Rockland Rd
Wilmington, DE 19803-3648

2323 Pennsylvania Ave
Suite 2a
Wilmington, DE 19806-1332
Phone (302) 475-3346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Phyllis E. Chambers, O.D. Optometrist CurrentSince Jul 10, 2010 Accepting new patients
The Nemours Foundation Current Accepting new patients

Locations

1801 Rockland Rd
Ste 302
Wilmington, DE 19803
Phone (302) 651-4359

2323 Pennsylvania Ave
Ste 2A
Wilmington, DE 19806
Phone (302) 475-3346

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1598842676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 PENNSYLVANIA AVE",
            "address_2": "STE 2A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061332",
            "telephone_number": "302-475-3346",
            "fax_number": "302-529-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SILVERSIDE RD",
            "address_2": "SUITE C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104400",
            "telephone_number": "302-475-3346",
            "fax_number": "302-529-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "PHYLLIS",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000202922",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.