Phillips, Clifford Isaac

Phillips, Clifford Isaac is an individual health care provider with primary practice located at 18800 Forest Rd , Lynchburg VA 24502-4494. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Phillips, Clifford Isaac can be contacted via phone (434) 385-8800.

Contact Information

Primary practice address
18800 Forest Rd Lynchburg VA 24502-4494
Phone: (434) 385-8800
Fax: (434) 385-9011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001245 Virginia

Profile Details

NPI number 1770501546
LBN Legal business name Phillips, Clifford Isaac
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770501546 NPPES
Virginia MEDICAID 010050171
Virginia MEDICAID 010050189
Virginia MEDICAID 010050146

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