Organization Active NPI

Phifer Eye Associates, Optometrists, PLLC

  • Optometrist
  • Monroe, NC
National Provider Identifier
1760053920
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PHIFER EYE ASSOCIATES, OPTOMETRISTS, PLLC
Practice address
510 S Sutherland Ave
Monroe, NC 28112-5061
Phone
(704) 289-6300
Fax
(704) 289-8939
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
John T Phifer, ODNPI 1457339798
Title
Owner/Optometrist
Phone
(704) 289-6300

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

510 S Sutherland Ave
Monroe, NC 28112-5061

Mailing address

PO Box 971
Monroe, NC 28111-0971
Phone (704) 289-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211105000408 NC Part B Supplier - Clinic/Group Practice 3577952993 Receives reassigned benefits from 2 practitioners
Practice locations: Monroe, NC
O20220419000681 NC DME Supplier - Physician - Optometrist 3577952993 Practice locations: Monroe, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Phifer Eye Associates Optometrist P510 S Sutherland Ave, Monroe, NC 28112-5061(704) 289-6300 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 1, 2021

National Provider Directory

National Provider Directory

Locations

510 S Sutherland Ave
Monroe, NC 28112
Phone (704) 289-6300

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": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1760053920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281110971",
            "telephone_number": "704-289-6300",
            "fax_number": "704-289-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S SUTHERLAND AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125061",
            "telephone_number": "704-289-6300",
            "fax_number": "704-289-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIFER EYE ASSOCIATES, OPTOMETRISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "PHIFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "704-289-6300",
        "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 Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.