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WALLACE L PHILLIPS O.D.
NPI 1457444580
Optometrist in Kermit, TX

Active since October 02, 2006PECOS Enrolled
103 S EAST AVE, KERMIT, TX 79745(432) 586-3435(432) 586-6737 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace L Phillips O.d. NPPES

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

WALLACE L PHILLIPS O.D. (NPI 1457444580) is an individual optometrist in Kermit, Texas, licensed in Texas (2869TG) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457444580
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWALLACE L PHILLIPSCredential: O.D.
Location Address103 S EAST AVEKermit, TX 79745-3606
Mailing Address103 S East AveKermit, TX 79745-3606 · (432) 586-3435 · Fax (432) 586-6737
Phone(432) 586-3435
Fax(432) 586-6737
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 6, 2010
✔ NPI 1457444580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 2869TG
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.
103 S EAST AVE, Kermit, TX 79745
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Other Identifiers 5

Medicaid032932801TX
Medicare PIN00E80DTX
Other00E80DBlue Cross/blue Shield
Medicare UPINT86245TX
Medicare NSC1191440001TX

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace L Phillips O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79745 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALLACE L PHILLIPS
Optometrist
103 S EAST AVE
KERMIT, TX 79745
Winkler County (432) 586-3435
RYAN PHILLIPS
Optometrist
103 S EAST AVE
KERMIT, TX 79745
Winkler County (432) 586-3435

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 Wallace Phillips's NPI number?

The NPI number for Wallace Phillips is 1457444580. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Wallace Phillips located?

Wallace Phillips practices at 103 S East Ave, Kermit, TX 79745. The listed phone number is (432) 586-3435.

What is Wallace Phillips's specialty?

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

Is Wallace Phillips enrolled in Medicare?

Yes. Wallace Phillips is registered in the Medicare PECOS enrollment system.

What insurance does Wallace Phillips accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Wallace 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 Wallace Phillips was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.