1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Optometrist
  6. NPI Profile

NIA PHILLIPS O.D.
NPI 1003595422
Optometrist in Hackensack, NJ

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment
385 PROSPECT AVE STE 300, HACKENSACK, NJ 07601(201) 342-5191(201) 487-0026 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Jul 13, 2023 (2 updates tracked since 2023).

About Nia Phillips O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIA PHILLIPS O.D. (NPI 1003595422) is an individual optometrist in Hackensack, New Jersey, licensed in New Jersey (27OA00731000) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003595422
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNIA PHILLIPSCredential: O.D.
Location Address385 PROSPECT AVE STE 300Hackensack, NJ 07601-2570
Mailing Address420 Mountain Ave Fl 4New Providence, NJ 07974-2736 · (908) 458-8333 · Fax (908) 967-5488
Phone(201) 342-5191
Fax(201) 487-0026
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 13, 2023
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1003595422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00731000✔ Licensed in PA · OEG004049
Definition
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.
385 PROSPECT AVE STE 300, Hackensack, NJ 07601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nia Phillips O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597125005
PECOS Enrollment IDI20250311003979
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nia Phillips's NPI number?

The NPI number for Nia Phillips is 1003595422. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Nia Phillips located?

Nia Phillips practices at 385 Prospect Ave Ste 300, Hackensack, NJ 07601. The listed phone number is (201) 342-5191.

What is Nia Phillips's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nia Phillips enrolled in Medicare?

Yes. Nia Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nia Phillips accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Nia Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nia Phillips was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.