Active NPI
Susan Brekrus Phillips, O.D.
- Optometrist
- Ocala, FL
National Provider Identifier
1841317757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 2326
- Practice address
- 3100 SW College Rd
Inside Sears Optical
Ocala, FL 34474-7446 - Phone
- (352) 291-2020
- Fax
- (352) 873-9110
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 2326 | FL | Primary |
Addresses
Primary practice location
3100 SW College Rd
Inside Sears Optical
Ocala, FL 34474-7446
Mailing address
1620 SE 29TH Ter
Ocala, FL 34471-4715
Phone (352) 351-2728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 2326 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillips & Phillips OD PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Ocala, FL
- NPI 1669792453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1841317757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 SE 29TH TER",
"city": "OCALA",
"state": "FL",
"postal_code": "344714715",
"telephone_number": "352-351-2728",
"fax_number": "352-351-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW COLLEGE RD",
"address_2": "INSIDE SEARS OPTICAL",
"city": "OCALA",
"state": "FL",
"postal_code": "344747446",
"telephone_number": "352-291-2020",
"fax_number": "352-873-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SUSAN",
"middle_name": "BREKRUS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 2326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
- Barry David Phillips, O.D.
- Doyle Claude Phillips Jr., MD
- Foster Cole Phillips, CRNA
- Joshua Cliff Phillips, CRNA
- Paige Piscitello Phillips, DNP, CRNA
- Dyan Syntha Phipps, APRN
- Physiatry Phirst LLC
- Physician Health Partners at Munroe Regional Medical Center Inc
- Physician Partners Specialty Services, LLC
- Physician Providers Group PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.