Henry Lee Phillips, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2155 Issued in TX

Practice address

5201 Bosque Blvd
Suite 220
Waco, TX 76710-4411

Phone

(254) 741-1022

Fax

(254) 776-5310

NPI assigned

May 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Waco Vision Center, PLLC

  • Optometrist
  • Waco, TX
  • NPI 1245695972
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780806703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BOSQUE BLVD",
            "address_2": "SUITE 220",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104411",
            "telephone_number": "254-741-1022",
            "fax_number": "254-776-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BOSQUE BLVD",
            "address_2": "SUITE 220",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104411",
            "telephone_number": "254-741-1022",
            "fax_number": "254-776-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HENRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDENTIFICATION NUMBER",
            "identifier": "7517867734",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Plus, Inc.
• Phases of Hope Counseling Services, PLLC
• Phenomenon Inc.
• Philip H Croyle MD PA
• Jennifer Phillippi, MS, RD, LD
• Tytiana Shabree Phillips, BT
• Wendy Eileen Phillips, HIS
• Gwendolen Phipps, RN
• Phoenix Care LLC
• Physician Assistant Services of Texas L.L.P

• Optometrist in Waco, TX
• Providers in Waco, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.