Vito, Phillip M

Vito, Phillip M is an sole proprietor health care provider with primary practice located at 608 Holly Springs Rd , Holly Springs NC 27540-9030. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Vito, Phillip M can be contacted via phone (919) 577-3937.

Contact Information

Primary practice address
608 Holly Springs Rd Holly Springs NC 27540-9030
Fax: (919) 577-9260
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NC 1652 North Carolina
Eye and Vision Services Providers / Optometrist 152W00000X 4872 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X 6828 Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1652 North Carolina
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1652 North Carolina
Eye and Vision Services Providers / Pediatrics 152WP0200X 1652 North Carolina
Eye and Vision Services Providers / Sports Vision 152WS0006X 1652 North Carolina
Eye and Vision Services Providers / Occupational Vision 152WX0102X 1652 North Carolina

Profile Details

NPI number 1104826528
LBN Legal business name Vito, Phillip M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Aug 22nd, 2007 - about 17 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 1104826528 NPPES
North Carolina MEDICAID 890905J

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