JEFFREY SCOTT PHILLIPS (NPI# 1134136096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134136096 |
| Entity Type | Individual |
| Full Name | JEFFREY SCOTT PHILLIPS |
| Credential | OD |
| Practice Address |
4504 Texas Blvd Texarkana TX 75503-3027 |
| Practice Telephone | 9037923705 |
| Practice Fax Number | 9037945008 |
| Mailing Telephone | 9037923705 |
| Mailing Fax Number | 9037945008 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5480TG | TX | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
05480TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAID | 019156101 | 01 |
| AR | 140981722 | 05 | |
| TX | RAILROAD MEDICARE | 410046137 | 01 |
| AR | ARKANSAS BLUE CROSS BLUE | 98441 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 82857Q | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174872451 | Jeffrey Carl Phillips | Veterinarian | 3922 Clear Springs Rd, Mascot, TN 37806-1005 | 2012-09-02 |
| 1477837789 | Jeffrey P Phillips | Psychologist | 505 W 15th, Pleasanton, KS 66075-4095 | 2011-10-05 |
| 1295050078 | Jeffrey Michael Phillips | Pharmacist | 2182 County Line Rd, Huntingdon Valley, PA 19006-1740 | 2010-04-05 |
| 1144365966 | Jeffrey Grant Phillips | Chiropractor | 967 S Coast Highway 101, B109, Encinitas, CA 92024-4443 | 2007-02-20 |
| 1518030196 | Jeffrey Joseph Phillips | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| 1770662769 | Jeffrey J Phillips | Chiropractor | 948a E. Broad St., Columbus, OH 43205 | 2006-11-02 |
| 1003917410 | Jeffrey C Phillips | Dentist | 1109 Liberty Circle S, Salem, OR 97306 | 2006-09-26 |
| 1568572311 | Jeffrey Paul Phillips | Chiropractor | 375 W Main St, Ste D, Woodland, CA 95695 | 2006-08-30 |
| 1811974900 | Jeffrey Dean Phillips | Optometrist | 1903 Tyrone Blvd N, Saint Petersburg, FL 33710-4841 | 2005-12-29 |
| 1104345206 | Jeffrey M Phillips | Physical Therapist | 2906 Plantation Dr, Bossier City, LA 71111-5851 | 2017-09-11 |
| Street Address |
4504 TEXAS BLVD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865452 | Eye Guys, LLC | Optometrist | 4504 Texas Blvd, Texarkana, TX 75503-3027 | 2019-11-11 |
| 1679702096 | Sean M. Summers | Optometrist | 4504 Texas Blvd, Texarkana, TX 75503-3027 | 2009-07-07 |
| 1467657916 | Phillips Vision Clinic LLC | Optometrist | 4504 Texas Blvd, Texarkana, TX 75503-3027 | 2007-06-15 |
| 1174699615 | John Eric Mccall | Optometrist | 4504 Texas Blvd, Texarkana, TX 75503-3027 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417413717 | Med Southwest, Pllc | Optometrist | 114 E 49th St, Texarkana, AR 71854-2117 | 2019-02-12 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1386188563 | Dr Allen's Eye Care Pllc | Optometrist | 3304 Richmond Rd, Texarkana, TX 75503-0703 | 2016-12-07 |
| 1508057431 | Christiana V. Montgomery,o.d.,p.c. | Optometrist | 2400 Richmond Rd, # 64, Texarkana, TX 75503-2466 | 2007-08-06 |
| 1033326202 | J. Phillip Jaros O.d. & Assoc | Optometrist | 411 Hickory St, Texarkana, AR 71854-5448 | 2007-05-17 |
| 1891823258 | Nicholas Paul Marcopulos | Optometrist | 2703 Richond Road, Texarkana, TX 75503-2338 | 2007-02-28 |
| 1750451449 | Professional Eye Care Associates Pa | Optometrist | 2901 Richmond Rd, Texarkana, TX 75503-2125 | 2006-11-09 |
| 1982782439 | Glen Woodford Hart II | Optometrist | 226 Richmond Ranch Rd, Texarkana, TX 75503-1083 | 2006-11-01 |
| 1457311607 | Littleton Augustus Fowler Sr. | Optometrist | 4224 Texas Blvd, Texarkana, TX 75503-3013 | 2006-03-23 |
| 1073588810 | Brad R Aaron | Optometrist | 3630 N Robison Rd, Texarkana, TX 75501-2731 | 2006-02-22 |
| Find all providers in TEXARKANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.