Individual
DR. PHILLIP E ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17495 W CAPITOL DR STE D, BROOKFIELD, WI 53045-2059
(262) 797-9638
(262) 797-9648
Mailing address
15145 POMONA RD, BROOKFIELD, WI 53005
(262) 797-9322
(262) 797-9648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
391547996
WI
152W00000X
Optometrist
WI1966
WI
Other
Enumeration date
03/20/2007
Last updated
11/17/2020
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