Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMIE TANTILLO PHELPS, PSC
Active Sole ProprietorMR. JIMMIE TANTILLO PHELPS, PSC is a Optician, Dispensing healthcare provider located in RICHMOND, Kentucky. NPI 1740440742 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · RICHMOND, KY
Registration Details
- NPI Number
- 1740440742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2008 (18.135223023602 yrs)
- Last Updated
- Jun 12, 2008
- License
-
325 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 GERI LNRICHMOND, KY, 404752359Browse KY providers · Browse ZIP 40475
- Phone
- 8596234267
- Fax
- 8596234249
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in RICHMOND, KY
| Name | Credential | NPI |
|---|---|---|
| LINWOOD OAKES | LDO | 1720717143 |
| DEBRA LYNN SIZEMORE | — | 1710617386 |
| MR. ROBERT HENRY | LDO | 1205567575 |
| JENNIFER TUTTLE | LICENSED OPTICIAN | 1205663713 |
| STACEY ANN WEST | — | 1285587790 |
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.