Wallace L Phillips
Optometrist · Kermit, TX
Practice location
103 S East AveKermit, TX 79745-3606
- Phone
- (432) 586-3435
- Fax
- (432) 586-6737
NPI record
- NPI
- 1003040452
- Entity type
- Organization (Type 2)
- Enumeration date
- May 13, 2009
- Last updated
- May 13, 2009
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
2869TG | TX |
Authorized official
- Name
- Dr. Wallace L Phillips, O.D.
- Title
- Owner
- Phone
- (432) 586-3435
Other names
- Phillips Eye Clinic
About Wallace L Phillips
Wallace L Phillips is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 103 S East Ave, Kermit, TX 79745-3606. The NPI number 1003040452 was assigned on May 13, 2009 and the record was last updated on May 13, 2009.
Wallace L Phillips lists a license in the registry: #2869TG (TX) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Wallace L Phillips, O.D., Owner.
Frequently asked questions
What is the NPI number of Wallace L Phillips?
The NPI number is 1003040452.
What is the phone number of Wallace L Phillips?
The phone number listed for the practice location is (432) 586-3435.
Where is Wallace L Phillips located?
103 S East Ave, Kermit, TX 79745-3606.
What is the taxonomy code for Wallace L Phillips?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Optometrist providers in Kermit
- Wallace L. Phillips, O.D.103 S East Ave
- Ryan Phillips103 S East Ave