Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Philip Pelton

Individual provider Optometrist · NPI 1275117319

Philip Pelton is an Optometry in Portage, Michigan. Graduated from Ferris State College - College of Optometry in 2021, 5 years ago. Practices with Mid Michigan Eye Care Center PC, a 31-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Ferris State College - College of Optometry
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

255 Romence Rd
Portage, MI 49024-3439
Phone: (269) 324-0800
Fax: (269) 324-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005543 (MI)

Record details

NPI number1275117319
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025
Mailing address8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Mid Michigan Eye Care Center Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portage