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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK JAY PHILIPPE, OD

Active Sole Proprietor

JACK JAY PHILIPPE, OD is a Optometrist healthcare provider located in CASTLE ROCK, Colorado. NPI 1619927597 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CASTLE ROCK, CO

Registration Details

NPI Number
1619927597
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2006 (20.217515589485 yrs)
Last Updated
Feb 7, 2008
License
CO1199 (CO)
Sole Proprietor
Yes

Practice Information

Address
201 S WILCOX ST
CASTLE ROCK, CO, 801043315
Browse CO providers · Browse ZIP 80104
Phone
3036600044
Fax
3036606219
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in CASTLE ROCK, CO

Name Credential NPI
DR. KERRY N TYLER O.D. 1396707816
TARA K KEESEY OD 1760415996
DR. JOSEPH J RAFFA O.D. 1487752663
DR. REGGIE L RAGSDALE OD 1902968563
LYN TRAN 1295924629
DR. RYAN T. REID OD 1609189471
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.