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PHILLIP D ENDICOTT O.D.
NPI 1952464802
Optometrist in La Puente, CA

Active since December 19, 2006PECOS Enrolled
15909 MAIN ST, LA PUENTE, CA 91744(626) 961-0876(909) 468-4603 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Phillip D Endicott O.d. NPPES

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

PHILLIP D ENDICOTT O.D. (NPI 1952464802) is an individual optometrist in La Puente, California, licensed in California (6152T) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952464802
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePHILLIP D ENDICOTTCredential: O.D.
Location Address15909 MAIN STLa Puente, CA 91744-4720
Mailing Address15909 Main StLa Puente, CA 91744-4720 · (626) 961-0876 · Fax (909) 468-4603
Phone(626) 961-0876
Fax(909) 468-4603
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1952464802 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 CA · 6152T
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.
15909 MAIN ST, La Puente, CA 91744
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Other Identifiers 1

MedicaidSD0061520CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip D Endicott 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.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Endicott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
12 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91744 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 4

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

DR. GRACE JAVIER DACANAY O.D.
Optometrist
15909 MAIN ST
LA PUENTE, CA 91744
Los Angeles County (626) 961-0876
DR. JOHN C NELSON O.D.
Optometrist
15909 MAIN ST
LA PUENTE, CA 91744
Los Angeles County (626) 961-0876
NELSON & ENDICOTT AN OPTOMETRIC CORPORATION
Optometrist
15909 MAIN ST
LA PUENTE, CA 91744
Los Angeles County (626) 961-0877
GRACE J. DACANAY O.D., INC.
Clinic/Center (Health Service)
15909 MAIN ST
LA PUENTE, CA 91744
Los Angeles County (626) 961-0876

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 Phillip Endicott's NPI number?

The NPI number for Phillip Endicott is 1952464802. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Phillip Endicott located?

Phillip Endicott practices at 15909 Main St, La Puente, CA 91744. The listed phone number is (626) 961-0876.

What is Phillip Endicott's specialty?

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

Is Phillip Endicott enrolled in Medicare?

Yes. Phillip Endicott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phillip Endicott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Endicott reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Endicott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phillip Endicott was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.