NPIMap

Organization Active NPI

Philip G Nix OD

  • Optometrist
  • Muncie, IN
National Provider Identifier
1619154549
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001928A Issued in IN
Legal business name
PHILIP G NIX OD
Practice address
4801 W Clara LN
Muncie, IN 47304-5548
Phone
(765) 284-8460
Fax
(765) 284-0943
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Philip G Nix, O.D.
Title
Owner
Phone
(765) 284-8460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18001928A IN Primary

Addresses

Primary practice location

4801 W Clara LN
Muncie, IN 47304-5548

Mailing address

4801 W Clara LN
Muncie, IN 47304-5548
Phone (765) 284-8460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1619154549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W CLARA LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045548",
            "telephone_number": "765-284-8460",
            "fax_number": "765-284-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W CLARA LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045548",
            "telephone_number": "765-284-8460",
            "fax_number": "765-284-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP G NIX OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-284-8460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001928A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.