Charles Nolan Philpy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0003310 Issued in CO

Practice address

1607 S Main St
Lamar, CO 81052

Phone

(719) 336-3311

Fax

(719) 336-3172

NPI assigned

Jun 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ballantyne Vision Care LLC 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lamar Area Hospice Association

  • Community Based Hospice Care Agency
  • Lamar, CO
  • NPI 1457392151

  Corporate Director

  CMS ownership

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.

• Ballantyne Vision Care LLC

  • Optometrist
  • La Junta, CO
  • NPI 1306146121

  CO, Optometrist

  Medicare reassignment Care Compare group NPD
• Complete Family Eyecare Inc

  • Optometrist
  • Dillon, CO
  • NPI 1710129218

  CO, Optometrist

  Medicare reassignment NPD
• Ballantyne Vision Care LLC

  • Optometrist
  • Lamar, CO
  • NPI 1154994549
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1700316593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 S MAIN ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523825",
            "telephone_number": "719-336-3311",
            "fax_number": "719-336-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S MAIN ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "81052",
            "telephone_number": "719-336-3311",
            "fax_number": "719-336-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Lusher Ct.",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "80443",
            "country_code": "US",
            "telephone_number": "970-262-9272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810501430",
            "country_code": "US",
            "telephone_number": "719-383-0134",
            "fax_number": "719-404-1825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILPY",
        "first_name": "CHARLES",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin James Pearce-Vasquez, B.S.
• Robyn Perdue
• Sabra Perdue
• Pharmacy Services Inc
• Richard Phillips, HYGIENIST
• Physical Therapy Plus, Inc
• Barry Portner, M.D.
• Poudre Valley Medical Group, LLC
• Poudre Valley Medical Group, LLC
• Poudre Valley Medical Group, LLC

• All providers in Lamar, CO
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.