Individual
NIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
385 PROSPECT AVE STE 300, HACKENSACK, NJ 07601-2570
(201) 342-5191
(201) 487-0026
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
(908) 967-5488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00731000
NJ
152W00000X
Optometrist
OEG004049
PA
Other
Enumeration date
07/13/2023
Last updated
03/07/2025
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