Individual
DR. GERALD D PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3030 E 29TH ST, SUITE 106, BRYAN, TX 77802-2757
(979) 731-8446
(979) 731-8275
Mailing address
3030 E 29TH STREET, SUITE 106, BRYAN, TX 77802-2740
(979) 731-8446
(979) 731-8275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02145T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112311903
—
TX
01
—
16110
SPECTERA
TX
01
—
16258
SCOTT & WHITE
TX
01
—
3750
BLOCK VISION
TX
01
—
54812
DAVIS VISION
TX
01
—
59496
SAFEGUARD
TX
01
—
6271
AVESIS
TX
01
—
80323E
BLUE CROSS BLUE SHIELD
TX
01
—
TX2145
EYEMED
TX
Enumeration date
07/31/2006
Last updated
09/02/2008
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