Jeffrey D. Phillips, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2099 Issued in FL

Legal business name

JEFFREY D. PHILLIPS, O.D., P.A.

Doing business as

Lifetime Vision Care

Practice address

1903 Tyrone Boulevard N
Saint Petersburg, FL 33710-4841

Phone

(727) 345-4035

Fax

(727) 384-3112

NPI assigned

Sep 28, 2006

Last updated

Nov 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Dean Phillips, O.D.NPI 1811974900

Title

President

Phone

(727) 345-4035

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifetime Vision Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Dean Phillips, OD

  • Optometrist
  • St Petersburg, FL
  • NPI 1811974900
  Authorized official Same address or phone

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1649362989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 TYRONE BOULEVARD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104841",
            "telephone_number": "727-345-4035",
            "fax_number": "727-384-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 TYRONE BOULEVARD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104841",
            "telephone_number": "727-345-4035",
            "fax_number": "727-384-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D. PHILLIPS, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-345-4035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620359100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheena Jean, M.P.H, B.A.
• Bridgett Jebsen
• Allison Jedinak
• Nadia Jefferson
• Jeffrey a Hirschfield MD PA
• Jeffrey L Tedder, MD, PA
• Jeffrey S. Walker, MD, PA
• Jeffrey T. Smith, PH.D., P.a.
• Nathalia Tonia Jeffrey-Fort, D.D.S.
• Jennnifer Elizabeth Jenema

• Optometrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.