PHILLIP J. MACKINDER (O.D.) – Optometrist, NPI 1730171174

PHILLIP J. MACKINDER (O.D.) is a healthcare provider. based in Deland, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3140 (FL). The NPI Number for PHILLIP J. MACKINDER (O.D.) is 1730171174

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP J. MACKINDER (O.D.)
NPI
1730171174
Phone
(386) 734-2931
Address
1592 SOUTH STATE ROAD 15-A
Enumeration Date
22 August 2005
Last Update Date
30 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3869170404
Graduation Year
1997 (29 years ago)
PAC ID
6103883913
Group Practice PAC ID
8820184831
Professional Enrollment ID
I20041215000267
Address ID
FL327638323OR2715XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for PHILLIP J. MACKINDER (O.D.)

  • 1592 SOUTH STATE ROAD 15-A

    DELAND, FL 32720

    Phone: (386) 734-2931

    Fax: (386) 734-2939

    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 34 Open Payments records for all available years, with a total value of $1,036.

Total Amount is formed as General ($1,036) + Research ($0) + Ownership ($0) = $1,036.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($328).

Total Amount

$1,036

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2004-12-15

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
I20041215000267IOptometryFLTBD

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
92014Established patient complete exam of visual system825794$0
92012Established patient problem focused exam of visual system337247$0
92133Imaging of optic nerve256252$0
99214Established patient office or other outpatient visit, 30-39 minutes221215$0
92134Imaging of retina205195$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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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: 8820184831View full group profile
NameSpecialtyState
-FL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
Emergency MedicineVA
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Can I verify PHILLIP J. MACKINDER (O.D.) with an NPI only?
You can start verification with NPI 1730171174 for PHILLIP J. MACKINDER (O.D.), then check state licensing separately.
Does CMS list PHILLIP J. MACKINDER (O.D.) as active?
Yes — PHILLIP J. MACKINDER (O.D.) is active in the NPI listing used on this page.
What is PHILLIP J. MACKINDER (O.D.)'s specialty?
The listing groups PHILLIP J. MACKINDER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does PHILLIP J. MACKINDER (O.D.) serve?
PHILLIP J. MACKINDER (O.D.)'s listing highlights Deland, Florida; more addresses can appear in NPPES.
Is the information about PHILLIP J. MACKINDER (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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