JEFFREY DEAN PHILLIPS (OD) – Optometrist, NPI 1811974900
Optometrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for JEFFREY DEAN PHILLIPS (OD)
1903, Tyrone Boulevard North, Saint Petersburg, Pinellas County, Florida, 33710, United States
SAINT PETERSBURG, FL 33710
Phone: (727) 345-4035
Fax: (727) 384-3112
Type: Mailing
6950 Central Ave
St Petersburg, FL 337071210
Phone: (727) 343-3004
Type: Location
35170 US Highway 19 N
Palm Harbor, FL 346841929
Phone: (727) 789-5333
Type: Location
Tyrone Boulevard North, Saint Petersburg, Pinellas County, Florida, 33709, United States
SAINT PETERSBURG, FL 337104841
Phone: (727) 345-4035
Fax: (727) 384-3112
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: 2004-01-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040108000924 | I | Optometry | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 130 | 130 | $0 |
| 92014 | Established patient complete exam of visual system | 114 | 112 | $0 |
| 92012 | Established patient problem focused exam of visual system | 97 | 72 | $0 |
Insurance plans in this area (ZIP 33710)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | FL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 523 | 361 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | NY |
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