Wallace L. Phillips, O.D.

Optometrist · Kermit, TX

Individual Active NPI

NPI number 1457444580

Practice location

103 S East Ave
Kermit, TX 79745-3606
Phone
(432) 586-3435
Fax
(432) 586-6737

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NPI record

NPI
1457444580
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
July 6, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2869TG TX

About Dr. Phillips

Wallace L. Phillips, O.D. is a healthcare provider 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 1457444580 was assigned on October 2, 2006 and the record was last updated on July 6, 2010.

Dr. 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.

Frequently asked questions

What is the NPI number of Wallace L. Phillips, O.D.?

The NPI number is 1457444580.

What is the phone number of Dr. Phillips?

The phone number listed for the practice location is (432) 586-3435.

Where is Dr. Phillips located?

103 S East Ave, Kermit, TX 79745-3606.

What is the taxonomy code for Dr. 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.

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