Wallace L Phillips is a
Optometrist based in Kermit, Texas. Wallace L Phillips is licensed to practice in Texas (license number 2869TG) and their current practice location is
103 S East Ave, Kermit, Texas. It can be reached at their office (for appointments etc.) via phone at
(432) 586-3435.
NPI number for Wallace L Phillips is 1003040452 and their current mailing address is 103 S East Ave, Kermit, Texas. Wallace L Phillips
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003040452.
Healthcare Provider's Profile
Full Name | Wallace L Phillips |
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Type | Facility |
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Speciality | Optometrist |
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Location | 103 S East Ave, Kermit, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003040452
- Provider Enumeration Date: 05/13/2009
- Last Update Date: 05/13/2009
Medical Identifiers
Medical identifiers for Wallace L Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003040452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 2869TG (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wallace L Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wallace L Phillips 103 S East Ave, Kermit, TX 79745-3606 Ph: (432) 586-3435 | Wallace L Phillips 103 S East Ave, Kermit, TX 79745-3606 Ph: (432) 586-3435 |
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