Individual provider Active NPI

Phillip M Liggins, O.D.

  • Optometrist
  • Riverdale, MD
National Provider Identifier
1922148261
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1540 Issued in MD
Practice address
5711 Sarvis Ave
Ste 402
Riverdale, MD 20737-1365
Phone
(301) 277-4844
Fax
(301) 927-3221
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1540 MD Primary

Addresses

Primary practice location

5711 Sarvis Ave
Ste 402
Riverdale, MD 20737-1365

Mailing address

5711 Sarvis Ave
Ste 402
Riverdale, MD 20737-1365
Phone (301) 277-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040202000834 MD Practitioner - Optometry 6800799172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goel Vision ColumbiaGroup PAC ID 4385064229, 3 clinicians

Practice addresses (Care Compare)

8850 Columbia 100 Pkwy
Suite 101
Columbia, MD 21045-2375
Phone (410) 888-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goel Vision Columbia CurrentSince Apr 1, 2025 Accepting new patients
Liggins Eye Consultants, Inc Optometrist CurrentSince Jan 1, 1990 Accepting new patients

Locations

8600 Snowden River Pkwy
Ste 309
Columbia, MD 21045
Phone (410) 715-1212

8850 Columbia 100 Pkwy
Ste 101
Columbia, MD 21045
Phone (240) 917-2770

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1922148261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE",
            "address_2": "STE 402",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371365",
            "telephone_number": "301-277-4844",
            "fax_number": "301-927-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE",
            "address_2": "STE 402",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371365",
            "telephone_number": "301-277-4844",
            "fax_number": "301-927-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGINS",
        "first_name": "PHILLIP",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

Verify at the official NPI Registry.