Individual
DR. CLIFFORD ISAAC PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
18800 FOREST RD, LYNCHBURG, VA 24502-4494
(434) 385-8800
(434) 385-9011
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010050146
—
VA
05
—
010050171
—
VA
05
—
010050189
—
VA
Enumeration date
07/18/2006
Last updated
07/02/2021
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