Phillips Eye Care, P.L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003890 Issued in MI

Legal business name

PHILLIPS EYE CARE, P.L.L.C.

Practice address

13330 Eureka Rd
Southgate, MI 48195-1310

Phone

(734) 285-2990

Fax

(734) 285-2712

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Phillips, O.D.NPI 1477557817

Title

Managing Partner

Phone

(734) 285-2990

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Daniel Phillips, O.D.

  • Optometrist
  • Southgate, MI
  • NPI 1477557817
  Medicare reassignment NPD Authorized official
• Wilbur Eugene Phillips, O.D.

  • Optometrist
  • Southgate, MI
  • NPI 1649269218
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1689672396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951310",
            "telephone_number": "734-285-2990",
            "fax_number": "734-285-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951310",
            "telephone_number": "734-285-2990",
            "fax_number": "734-285-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS EYE CARE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "734-285-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "900H24843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Elaine Pettway, ACSW, MSW, CSW
• Mary E Petty-Dudley, M.D.
• Patricia Cody Petty
• Dawn Pfeiffer
• Wanda Denise Phelps
• Daniel Phillips, O.D.
• Wilbur Eugene Phillips, O.D.
• Ivy Ting Pickell, LMSW
• Elizabeth Shannon Pierson
• Lanie Pifer

• Optometrist in Southgate, MI
• Providers in Southgate, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.