Phillips, Jeffrey Scott

Phillips, Jeffrey Scott is an individual health care provider with primary practice located at 4504 Texas Blvd , Texarkana TX 75503-3027. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Phillips, Jeffrey Scott can be contacted via phone (903) 792-3705.

Contact Information

Primary practice address
4504 Texas Blvd Texarkana TX 75503-3027
Phone: (903) 792-3705
Fax: (903) 794-5008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 05480TG Texas
Eye and Vision Services Providers / Optometrist 152W00000X 5480TG Texas

Profile Details

NPI number 1134136096
LBN Legal business name Phillips, Jeffrey Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Mar 30th, 2020 - 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 1134136096 NPPES
Texas Other 82857Q BLUE CROSS BLUE SHIELD
Texas MEDICAID 140981722 BLUE CROSS BLUE SHIELD
Texas Other 98441 BLUE CROSS BLUE SHIELD
Texas Other 019156101 BLUE CROSS BLUE SHIELD
Texas Other 410046137 BLUE CROSS BLUE SHIELD

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