Charles W Phillips
Optomitrist - Corneal and Contact Lenses
4311 W Wadley Ave
Midland
, Texas 79707-5457
Charles W Phillips
Optomitrist - Corneal and Contact Lenses
4311 W Wadley Ave
Midland
, Texas 79707-5457
(432) 689-2916
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Charles W Phillips
- 4311 W Wadley Ave
- Midland, TX
- Zip : 79707-5457
- Fax : (432) 689-2916
- Phone : (432) 689-0323
Second Address
- Charles W Phillips
- 4311 W Wadley Ave
- Midland, TX
- Zip : 79707-5457
- Fax : (432) 689-2916
- Phone : (432) 689-0323
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2745TG | TX |
National Provider Identifier
| NPI | 1093735011 |
|---|---|
| Provider Name | Charles W Phillips |
| First Address | Midland, TX 79707-5457 |
| Second Address | Midland, TX 79707-5457 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 30/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 019790701 | (05) | TX |
| T15284 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.