Robert L. Phillips, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC930 Issued in FL

Legal business name

ROBERT L. PHILLIPS, O.D., P.A.

Practice address

1580 Blanding Blvd
Jacksonville, FL 32210-1834

Phone

(904) 387-0025

Fax

(904) 387-0969

NPI assigned

Mar 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert L. Phillips, O.D.

Title

Owner

Phone

(904) 387-0025

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1053581967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101834",
            "telephone_number": "904-387-0025",
            "fax_number": "904-387-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101834",
            "telephone_number": "904-387-0025",
            "fax_number": "904-387-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. PHILLIPS, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-387-0025",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084322900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084322901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert Gerson O.D.
• Robert I Schnipper M.D.
• Robert I Schnipper MD PA
• Robert Lee Spurling
• Robert M. Lancaster, Arnp-BC P.a.
• Robert Miller MD PA
• Robert S. Gatling D.D.S. P.a.
• Adam Robert, CAA

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.