Dr. Tracy B Phillips, O.D.
Optometrist in Meridian, MS. Individual provider (NPI-1).
NPI number1508013293
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1508013293
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tracy B Phillips
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2008
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 799 | MS | Yes |
Practice location
4803 Poplar Springs Dr Ste AMeridian, MS 39305-2691
Phone 601-693-0176 · Fax 601-693-0177
Mailing address
106 Macy DrPhiladelphia, MS 39350-3792
Other practice locations
576 E Main St
Philadelphia, MS 39350-2841
Philadelphia, MS 39350-2841
Phone 601-568-2020 · Fax 601-568-4553
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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