DR. PHILIP FRED BRANDON (O.D.) – Optometrist, NPI 1417067752

DR. PHILIP FRED BRANDON (O.D.) is a healthcare provider. based in Springdale, Arkansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2370 (AR). The NPI Number for DR. PHILIP FRED BRANDON (O.D.) is 1417067752

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP FRED BRANDON (O.D.)
NPI
1417067752
Phone
(479) 756-1234
Address
1600 W SUNSET AVE
Enumeration Date
30 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4797561234
Graduation Year
1986 (40 years ago)
PAC ID
0547283004
Group Practice PAC ID
6002071115
Professional Enrollment ID
I20060111000837
Address ID
AR727625223SP1600XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

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Provider Addresses for DR. PHILIP FRED BRANDON (O.D.)

  • 1600, West Sunset Avenue, Springdale, Washington County, Arkansas, 72762, United States

    SPRINGDALE, AR 727625136

    Phone: (479) 756-1234

    Fax: (476) 756-1087

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $480.

Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($157).

Total Amount

$480

General + Research + Ownership

Payments

16

Total payment records

General Amount

$480

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060111000837IOptometryARTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes147147$0
92284Evaluation of eye adaptation to light and dark with interpretation and report8966$0
92134Imaging of retina8463$0
66984Removal of cataract with insertion of prosthetic lens7850$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional4133$0
View full utilization report →

Insurance plans in this area (ZIP 72762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002071115View full group profile
NameSpecialtyState
O P T O M E T R YAR
O P T O M E T R YAR
O P T O M E T R YAR

Reviews

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Frequently asked questions

Where can patients find DR. PHILIP FRED BRANDON (O.D.)'s NPI?
You can confirm DR. PHILIP FRED BRANDON (O.D.) with NPI 1417067752; it appears in the national provider directory.
Is DR. PHILIP FRED BRANDON (O.D.) active in the national directory?
DR. PHILIP FRED BRANDON (O.D.)'s public NPI profile is in an active state.
What kind of provider is DR. PHILIP FRED BRANDON (O.D.)?
The page reflects Optometrist for DR. PHILIP FRED BRANDON (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PHILIP FRED BRANDON (O.D.)?
The page summarizes Springdale, Arkansas for DR. PHILIP FRED BRANDON (O.D.); expand the address list for detail.
How can I contact DR. PHILIP FRED BRANDON (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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