Individual provider Active NPI

Blessy Philip, O.D.

  • Optometrist
  • Lewisville, TX
National Provider Identifier
1619382124
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8432T Issued in TX
Practice address
851 State Highway 121 Byp
Lewisville, TX 75067-4158
Phone
(972) 315-9306
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8432T TX Primary

Addresses

Primary practice location

851 State Highway 121 Byp
Lewisville, TX 75067-4158

Mailing address

851 State Highway 121 Byp
Lewisville, TX 75067-4158
Phone (972) 315-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170511002206 TX Practitioner - Optometry 4284911629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Associates PLLCGroup PAC ID 7618199027, 6 clinicians

Practice addresses (Care Compare)

220 S Denton Tap Rd
Suite 204
Coppell, TX 75019-5039
Phone (972) 745-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8432TXMDBehavioral Analyst
8432TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Associates PLLC Optometrist CurrentSince Jan 4, 2017 Accepting new patients
Clear Vision Associates PLLC Optometrist CurrentSince Jan 4, 2017 Accepting new patients

Locations

220 S Denton Tap Rd
Ste 204
Coppell, TX 75019
Phone (903) 707-7020

200 Gerault Rd
Ste 110
Flower Mound, TX 75028
Phone (972) 646-2024

851 State Highway 121 Byp
Lewisville, TX 75067
Phone (469) 948-1026

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1619382124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 STATE HIGHWAY 121 BYP",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674158",
            "telephone_number": "972-315-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 STATE HIGHWAY 121 BYP",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674158",
            "telephone_number": "972-315-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "BLESSY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8432T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.