Individual
DR. PHILLIP LEE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
524 CANAL ST, NEW SMYRNA BEACH, FL 32168-7012
(386) 423-5190
(386) 423-1490
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
2395
FL
Other
Enumeration date
10/26/2006
Last updated
09/08/2021
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