Jhaleil Phillips, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5992 Issued in FL

Practice address

161 Hampton Point Dr Ste 3
Saint Augustine, FL 32092-3058

Phone

(904) 287-9137

Fax

(904) 287-9057

NPI assigned

Jul 16, 2020

Last updated

Sep 30, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, WA2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Karuna Sharma OD PLLCGroup PAC ID 4385873637, 4 clinicians

Practice addresses (Care Compare)

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.

• Dr Karuna Sharma OD PLLC

  dba Alderwood Optical

  • Optometrist
  • Lynnwood, WA
  • NPI 1912338260
  Medicare reassignment Care Compare group NPD
• St Johns Eye Associates PA

  • Optometrist
  • St Augustine, FL
  • NPI 1710185798
  Medicare reassignment NPD
• St Johns Eye Associates at Nocatee

  • Optometrist
  • Ponte Vedra, FL
  • NPI 1629326343
  NPD
• St Johns Eye Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1609502178
  NPD

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1972111847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HAMPTON POINT DR STE 3",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923058",
            "telephone_number": "904-287-9137",
            "fax_number": "904-287-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HAMPTON POINT DR STE 3",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923058",
            "telephone_number": "904-287-9137",
            "fax_number": "904-287-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JHALEIL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003263",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Long Hoang Phan, DPT PT
• Phases of Healing, Counseling and Therapy LLC
• Jasmin Nikole Phiel
• Celina T Philip, RPH
• Ashton Phillips, APRN
• Morgan Phillips
• Story Phillips, MS CCC-SLP
• Phoenix CM Incorporated
• Phoenix Rises Acupuncture
• Physical Intelligence LLC

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.