Individual
DR. SCOTT LOUIS PHILIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0955A
BC/BS NC
—
01
—
4105310
MAMSI
—
01
—
5131920001
MEDICARE NFC
—
01
—
5140170
AETNA
—
05
—
890955A
—
NC
01
—
E1350
MEDCOST
—
Enumeration date
09/26/2006
Last updated
10/26/2010
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