Individual provider Active NPI

Curtis Paul Phibbs, O.D., M.S.

  • Optometrist
  • Williamsport, PA
National Provider Identifier
1861426660
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE-007061-T Issued in PA
Practice address
567 E 3Rd St
Williamsport, PA 17701-5316
Phone
(570) 323-8000
Fax
(570) 326-2880
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE-007061-T PA Primary

Addresses

Primary practice location

567 E 3Rd St
Williamsport, PA 17701-5316

Mailing address

61 Windy LN
Montgomery, PA 17752-8782
Phone (570) 515-0083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090710000031 PA Practitioner - Optometry 7810049525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Price Optometric Group LLCGroup PAC ID 6204071947, 2 clinicians

Practice addresses (Care Compare)

567 E 3Rd St
Williamsport, PA 17701-5316
Phone (570) 323-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OE-007061-TPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Durriya S Esaa Past Accepting new patients

Organizations & group practices 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1861426660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WINDY LN",
            "city": "MONTGOMERY",
            "state": "PA",
            "postal_code": "177528782",
            "telephone_number": "570-515-0083",
            "fax_number": "570-326-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015316",
            "telephone_number": "570-323-8000",
            "fax_number": "570-326-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIBBS",
        "first_name": "CURTIS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE-007061-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.