Organization
JEFFREY D. PHILLIPS, O.D., P.A.
Active
Other names
Lifetime Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DEAN PHILLIPS O.D. (PRESIDENT)
(727) 345-4035
Entity
Organization
Contact information
Practice address
1903 TYRONE BOULEVARD N, SAINT PETERSBURG, FL 33710-4841
(727) 345-4035
(727) 384-3112
Mailing address
1903 TYRONE BOULEVARD N, SAINT PETERSBURG, FL 33710-4841
(727) 345-4035
(727) 384-3112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620359100
—
FL
Enumeration date
09/28/2006
Last updated
11/10/2009
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