Individual
DR. ROBERT LOWELL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
534 S 5TH ST, MACCLENNY, FL 32063-2602
(904) 259-6797
(904) 259-5230
Mailing address
PO BOX 886, MACCLENNY, FL 32063-0886
(904) 259-6797
(904) 387-0969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OB233
FL
152W00000X
Optometrist
Primary
OPC930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084322900
—
FL
05
—
084322901
—
FL
Enumeration date
08/25/2005
Last updated
04/06/2018
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