PHILIP WILLIAM DOCKERY (MD, MPH) – Ophthalmology Physician, NPI 1669057535
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
135 OPHTHALMOLOGY in AR
Provider Addresses for PHILIP WILLIAM DOCKERY (MD, MPH)
3745 CORPORATE WOODS DR
VESTAVIA, AL 352422208
Phone: (205) 933-1077
Fax: (205) 930-0829
Type: Mailing
4301 W MARKHAM ST # 523
LITTLE ROCK, AR 722057101
Phone: (501) 686-8294
Type: Mailing
1 Childrens Way # 512-19A
Little Rock, AR 722023500
Phone: (501) 364-8166
Type: Location
4301 W Markham St # 523
Little Rock, AR 722057101
Phone: (501) 686-8294
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-08
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250806001479 | I | Ophthalmology | AL | TBD |
| I20250808001172 | I | Ophthalmology | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | AL | |
| Physician Assistant | AL | |
| O P H T H A L M O L O G Y | AL |
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