Individual
DR. PHILLIP M VITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4872
NJ
152W00000X
Optometrist
6828
PA
152W00000X
Optometrist
Primary
NC 1652
NC
152WC0802X
Corneal and Contact Management Optometrist
1652
NC
152WL0500X
Low Vision Rehabilitation Optometrist
1652
NC
152WP0200X
Pediatric Optometrist
1652
NC
152WS0006X
Sports Vision Optometrist
1652
NC
152WX0102X
Occupational Vision Optometrist
1652
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890905J
—
NC
Enumeration date
07/28/2005
Last updated
10/23/2024
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