Mr. Jimmie Tantillo Phelps is a Richmond, Kentucky based male eyecare provider who is specialized as Optician. He has professional credentials of PSC. Active license number of Mr. Jimmie Tantillo Phelps is 325 for Optician in Kentucky.
Mr. Jimmie Tantillo Phelps makes / sells eyeglasses and, contact lenses, for remedying defects of vision in accordance with the prescriptions of ophthalmologists and optometrists. Opticians also specializes in filling lens prescriptions, assisting patients with lens and frame selection and fitting (including style, weight and colour) but they do not test vision or write prescriptions for visual correction.
Complete Profile:
Mr. Jimmie Tantillo Phelps 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: | Optician |
| Credentials: | PSC |
| Gender: | Male |
| Practice Address: | 205 Geri Ln, Richmond,
Kentucky, 40475-2359 |
| Phone: | 859-623-4267 |
| Fax: | 859-623-4249 |
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.
| NPI Number: | 1740440742 |
| NPI Enumeration Date: | 12 Jun, 2008 |
| NPI Last Update On: | 12 Jun, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jimmie Tantillo Phelps are as mentioned below.
| License Number | Specialization | State | Status | |
| 325 | Optician | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jimmie Tantillo Phelps such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 52800919 | Medicaid | Kentucky | |
| OP0933 | Other | Kentucky | EYE MED |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 205 Geri Ln,
Richmond, Kentucky |
| Zip: | 40475-2359 |
| Phone Number: | 859-623-4267 |
| Fax Number: | 859-623-4249 |
Patients can reach Mr. Jimmie Tantillo Phelps at
205 Geri Ln, Richmond, Kentucky or can
call to book an appointment on 859-623-4267.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.