Wallace L Phillips is a Kermit, Texas based male Optometrist with 44 years of experience in Optometry. He completed his graduation from University Of Houston - College Of Optometry in 1980. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Wallace L Phillips is 2869TG for Optometry in Texas. Wallace L Phillips examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Wallace L Phillips speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
44+ years
Medical School Attended:
University Of Houston - College Of Optometry
Graduation Year:
1980
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
103 S East Ave, Kermit, Texas, 79745-3606
Phone:
432-586-3435
Fax:
432-586-6737
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7113035817
Enrollment ID:
I20101101000025
NPI Number:
1457444580
NPI Enumeration Date:
02 Oct, 2006
NPI Last Update On:
06 Jul, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wallace L Phillips are as mentioned below.
License Number
Specialization
State
Status
2869TG
Optometry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Wallace L Phillips such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00E80D
Other
BLUE CROSS/BLUE SHIELD
032932801
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
103 S East Ave, Kermit, Texas
Zip:
79745-3606
Phone Number:
432-586-3435
Fax Number:
432-586-6737
Patients can reach Wallace L Phillips at 103 S East Ave, Kermit, Texas or can call to book an appointment on 432-586-3435. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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