Robert E. Phillips, A.B.O.C.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

006405 Issued in NY

Practice address

210 Cornelia St
Suite 302
Plattsburgh, NY 12901-2318

Phone

(518) 561-8820

Fax

(518) 561-2164

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert I. Adler, M.D.,P.C.

  • Optician
  • Plattsburgh, NY
  • NPI 1245449305
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962619916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 302",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-561-8820",
            "fax_number": "518-561-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 302",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-561-8820",
            "fax_number": "518-561-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "A.B.O.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABO CERTIFICATION",
            "identifier": "26671",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICIAN LICENSE",
            "identifier": "006405",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02868142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PHG Medical Office, LLP
• Brenda M. Phillips, MD
• Brigitte Louise Phillips, M.S.
• Dove Phillips, LMHC, ATR-BC
• Michael Edward Phillips, MD
• Jacques Piche, M.D., F.R.S.C. (C)
• Jennifer Barbara Pierce, PHARM.D., R.PH.
• Nicole Pierce, RN
• Roseanna F Pierce, OT
• Tyler Pierotti, MD

• Optician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.