Philip G Nix, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001928A Issued in IN

Practice address

4801 W Clara LN
Muncie, IN 47304-5548

Phone

(765) 284-8460

Fax

(765) 284-0943

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1700868874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W TWICKINGHAM DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041057",
            "telephone_number": "765-287-8777"
        },
        {
            "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": {
        "last_name": "NIX",
        "first_name": "PHILIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001928A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Nicholson, NP
• Teresa Ann Nicholson, DDS
• Karli Nickles
• Tyler Niedermeyer, MA
• Mark E Nielson, MD
• Jodi Lynn Nixon, PH.D., HSPP
• Joshua A Nixon
• Rachel Kelly Nixon, PT
• Mushoba Njalamimba, M.D.
• No Place Like Home LLC

• Optometrist in Muncie, IN
• Providers in Muncie, IN by specialty
• Optometrist in Indiana

• 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.