Organization
PHILLIPS EYE CARE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PHILLIPS O.D. (MANAGING PARTNER)
(734) 285-2990
Entity
Organization
Contact information
Practice address
13330 EUREKA RD, SOUTHGATE, MI 48195-1310
(734) 285-2990
(734) 285-2712
Mailing address
13330 EUREKA RD, SOUTHGATE, MI 48195-1310
(734) 285-2990
(734) 285-2712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003890
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900H24843
BLUE CROSS
MI
Enumeration date
07/07/2005
Last updated
03/26/2009
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