NPIMap

Organization Active NPI

Mdphillipsod PLLC

  • Optometrist
  • Plano, TX
National Provider Identifier
1720622905
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MDPHILLIPSOD PLLC
Practice address
4012 Preston Rd Ste 500
Plano, TX 75093-7351
Phone
(972) 985-3638
Fax
(972) 867-7062
NPI assigned
Oct 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Dr. Michael Don Phillips, OD
Title
Owner
Phone
(214) 215-4824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4012 Preston Rd Ste 500
Plano, TX 75093-7351

Mailing address

9810 Round Tuit LN
Princeton, TX 75407-5411
Phone (214) 215-4824

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1720622905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 ROUND TUIT LN",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754075411",
            "telephone_number": "214-215-4824",
            "fax_number": "972-423-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 PRESTON RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937351",
            "telephone_number": "972-985-3638",
            "fax_number": "972-867-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDPHILLIPSOD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-215-4824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.