Michael Phillips, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

781 Issued in MS

Practice address

6704 Old Canton Rd
Ridgeland, MS 39157-1225

Phone

(601) 957-9292

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brandon Professional Eyecare Associates IncGroup PAC ID 2860714391, 4 clinicians

Canton Vision Clinic, PAGroup PAC ID 5799782629, 5 clinicians

Madison Professional Eyecare Associates IncGroup PAC ID 1052319118, 8 clinicians

Professional Eyecare Associates IncGroup PAC ID 0941103782, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Eyecare Associates ,Inc

  • Optometrist
  • Ridgeland, MS
  • NPI 1497830020
  Medicare reassignment Care Compare group NPD Authorized official
• Brandon Professional Eyecare Associates, Inc.

  • Optometrist
  • Brandon, MS
  • NPI 1477954352
  Medicare reassignment Care Compare group NPD
• Canton Vision Clinic, P.a.

  • Optometrist
  • Canton, MS
  • NPI 1174607477
  Medicare reassignment Care Compare group NPD
• Madison Professional Eyecare Associates, Inc

  • Optometrist
  • Madison, MS
  • NPI 1144304460
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1881884872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571225",
            "telephone_number": "601-957-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571225",
            "telephone_number": "601-957-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin Rene' Perry
• Otavia Perry, LPC, NCC
• Personalized Wellness
• Shardae Ali Louise Peterson
• Carla Phillips-Coakley, NP-C
• Summer C Phyfer, SLP
• Maria F Piazza
• Piccadilly Transport LC
• Heather Marie Pierce
• Melissa Rae Pierce, LPC

• Optometrist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.