DR. PHILLIP C. POPHAM (O.D.) – Optometrist, NPI 1598874109

DR. PHILLIP C. POPHAM (O.D.) is a healthcare provider. based in Grand blanc, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901002520 (MI). The NPI Number for DR. PHILLIP C. POPHAM (O.D.) is 1598874109

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILLIP C. POPHAM (O.D.)
NPI
1598874109
Phone
(810) 694-2237
Address
6444 WOODBURNE CT
Enumeration Date
29 August 2006
Last Update Date
20 July 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5864687612
Graduation Year
1975 (51 years ago)
PAC ID
8820163785
Group Practice PAC ID
9931257110
Professional Enrollment ID
I20080812000856
Address ID
MI480432204MO118XXAVEX300
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

1,204 OPTOMETRY in MI

Provider Addresses for DR. PHILLIP C. POPHAM (O.D.)

  • 6444 WOODBURNE CT

    GRAND BLANC, MI 484399476

    Phone: (810) 694-2237

    Type: Mailing

  • G-4190 E. COURT ST.

    #877

    BURTON, MI 485091718

    Phone: (810) 743-4400

    Fax: (810) 743-2740

    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: 2008-08-12

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
I20080812000856IOptometryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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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: 9931257110View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Is there an official ID for DR. PHILLIP C. POPHAM (O.D.) in U.S. healthcare records?
The official identifier for DR. PHILLIP C. POPHAM (O.D.) is NPI 1598874109.
Is DR. PHILLIP C. POPHAM (O.D.) still an active registrant?
DR. PHILLIP C. POPHAM (O.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. PHILLIP C. POPHAM (O.D.)?
DR. PHILLIP C. POPHAM (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. PHILLIP C. POPHAM (O.D.) located near Grand Blanc?
DR. PHILLIP C. POPHAM (O.D.) currently maps to Grand Blanc, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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