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Active NPI 1457444580 Individual Practitioner Male Practitioner

Dr. Wallace L Phillips , OD

Optometrist • Kermit, TX

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Phillips, OD is a registered healthcare professional specializing in Optometrist in Kermit, TX. Practice services are available at 103 S EAST AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

103 S East Ave

Kermit, TX 797453606

Telephone 4325863435
Fax 4325866737
Associated Practice Facility / Clinic
🏢 Wallace L Phillips Facility NPI 1003040452

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kermit, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Kermit, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
11 11 $99.00 $97.56

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 2869TG

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
032932801 (TX)
Commercial Insurance / Payer ID Blue Cross/blue Shield
00E80D

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Ryan Phillips

Optometrist

NPI 1508218686

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 06, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2010

Registered at 103 S EAST AVE, KERMIT, TX 797453606 (Tel: 4325863435)

📍
Updated Business Mailing Address July 06, 2010

Registered at 103 S EAST AVE, KERMIT, TX 797453606 (Tel: 4325863435)

👤
Provider Name / Credentials Updated July 06, 2010

Recorded as WALLACE PHILLIPS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2010

Optometrist (License #2869TG in TX)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457444580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 06, 2010
Sole Proprietor: Yes

Mailing Address

103 S East Ave

Kermit, TX 797453606

Phone: 4325863435

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.