Individual
DR. TYLER PHILPOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5 SCHOOL ST, BETHEL, CT 06801-1854
(203) 798-2020
(203) 798-2179
Mailing address
5 SCHOOL ST, BETHEL, CT 06801-1854
(203) 798-2020
(203) 798-2179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004067666
—
CT
Enumeration date
10/12/2006
Last updated
10/04/2010
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