Phillis, Kendra

Phillis, Kendra is an individual health care provider with primary practice located at 930 Commonwealth Ave , Boston MA 02215-1274. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Phillis, Kendra can be contacted via phone (617) 262-2020.

Contact Information

Primary practice address
930 Commonwealth Ave Boston MA 02215-1274
Phone: (617) 262-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 5352 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 5352 Massachusetts

Profile Details

NPI number 1942868666
LBN Legal business name Phillis, Kendra
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2019
Last updated Jul 8th, 2020 - about 4 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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