# PHILLIP J. MACKINDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1730171174
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3140 | FL | Yes |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 07/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20841 | BCBS | FL |
| 01 | — | 410040684 | MEDICARE RR | FL |
| 01 | — | E0073Z | MEDICARE | FL |