Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE L PHILLIPS, O.D.
Active Sole ProprietorWALLACE L PHILLIPS, O.D. is a Optometrist healthcare provider located in KERMIT, Texas. NPI 1457444580 is currently active in the NPPES registry. Verify at CMS.
Optometrist · KERMIT, TX
Registration Details
- NPI Number
- 1457444580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.860712630494 yrs)
- Last Updated
- Jul 6, 2010
- License
-
2869TG (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 S EAST AVEKERMIT, TX, 797453606Browse TX providers · Browse ZIP 79745
- Phone
- 4325863435
- Fax
- 4325866737
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in KERMIT, TX
| Name | Credential | NPI |
|---|---|---|
| RYAN PHILLIPS | — | 1508218686 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.