Organization Active NPI

Phillips & Phillips OD PA

  • Optometrist
  • Ocala, FL
National Provider Identifier
1669792453
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PHILLIPS & PHILLIPS OD PA
Practice address
3100 SW College Rd
Inside Sears Optical
Ocala, FL 34474-7446
Phone
(352) 291-2020
Fax
(352) 873-9110
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Susan Brekrus Phillips, O.D.NPI 1841317757
Title
Vice President
Phone
(352) 291-2020

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3100 SW College Rd
Inside Sears Optical
Ocala, FL 34474-7446

Mailing address

1620 SE 29TH Ter
Ocala, FL 34471-4715
Phone (352) 291-2020

Other names 1

  • Barry and Susan Phillips, PA Former legal business name

National Provider Directory

National Provider Directory

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": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1669792453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SE 29TH TER",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714715",
            "telephone_number": "352-291-2020",
            "fax_number": "352-873-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW COLLEGE RD",
            "address_2": "INSIDE SEARS OPTICAL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747446",
            "telephone_number": "352-291-2020",
            "fax_number": "352-873-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS & PHILLIPS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BREKRUS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-291-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barry and Susan Phillips, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.