DR. JERRY LYNN PHILLIPS (O.D.) – Optometrist, NPI 1134170905

DR. JERRY LYNN PHILLIPS (O.D.) is a healthcare provider. based in Eugene, Oregon. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2681 ATI (OR). The NPI Number for DR. JERRY LYNN PHILLIPS (O.D.) is 1134170905

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERRY LYNN PHILLIPS (O.D.)
NPI
1134170905
Phone
(541) 729-4778
Address
2423 PANORAMA DR
Enumeration Date
15 May 2006
Last Update Date
1 March 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5416892881
Graduation Year
1998 (28 years ago)
PAC ID
1850303215
Professional Enrollment ID
I20060629000221
Address ID
OR974057205EU2864XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

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Provider Addresses for DR. JERRY LYNN PHILLIPS (O.D.)

  • 2423, Panorama Drive, Eugene, Lane County, Oregon, 97405, United States

    EUGENE, OR 974051481

    Phone: (541) 729-4778

    Fax: (541) 484-7674

    Type: Mailing

  • Laughing Planet, 2864, Willamette Street, Woodfield Microhood, College Hill, Eugene, Lane County, Oregon, 97405, United States

    SUITE 600

    EUGENE, OR 974053297

    Phone: (541) 689-2881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: RxSight Inc ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
RxSight Inc$105
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: 2006-06-29

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
I20060629000221IOptometryORTBD

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
92250Photography of the retina171158$0
92134Imaging of retina8179$0
99214Established patient office or other outpatient visit, 30-39 minutes7570$0
99213Established patient office or other outpatient visit, 20-29 minutes5143$0
92083Exam of visual field with extended testing3934$0
View full utilization report →

Insurance plans in this area (ZIP 97405)

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Reviews

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Frequently asked questions

What is the registry number for DR. JERRY LYNN PHILLIPS (O.D.)?
The registry entry for DR. JERRY LYNN PHILLIPS (O.D.) shows NPI 1134170905.
Quick check: is DR. JERRY LYNN PHILLIPS (O.D.) active?
Public NPPES data shows DR. JERRY LYNN PHILLIPS (O.D.) with an active NPI status right now.
What does the directory say DR. JERRY LYNN PHILLIPS (O.D.) does?
Insurance directories may phrase it differently, but here DR. JERRY LYNN PHILLIPS (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. JERRY LYNN PHILLIPS (O.D.) tied to Eugene, Oregon?
If you are local to Eugene, Oregon, DR. JERRY LYNN PHILLIPS (O.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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