Individual provider Active NPI

Colleen Patricia Phillips, OD

  • Optometrist
  • Okemos, MI
National Provider Identifier
1841266525
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003644 Issued in MI
Practice address
1865 West Grand River
Okemos, MI 48864
Phone
(517) 349-2393
Fax
(517) 349-3751
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003644 MI Primary

Addresses

Primary practice location

1865 West Grand River
Okemos, MI 48864

Mailing address

1865 West Grand River
Okemos, MI 48864
Phone (517) 349-2393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20051207000120 MI Practitioner - Optometry 2365462397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1865 W Grand River Ave
Okemos, MI 48864-1840
Phone (517) 349-2393

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as individual
Quality
69.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003644MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Vision PC Optometrist CurrentSince Oct 1, 2005 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Meridian Eye Care, PC Optometrist PastSince Jan 1, 2006 Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients

Locations

1865 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-2393

Interoperability endpoints

  • Direct secure messaging: colleen.phillips@direct.revolutionehr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841266525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 WEST GRAND RIVER",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-349-2393",
            "fax_number": "517-349-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 WEST GRAND RIVER",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "48864",
            "telephone_number": "517-349-2393",
            "fax_number": "517-349-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "COLLEEN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.