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
Phone: (919) 577-3937
Fax: (919) 577-9260
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104826528 | NPPES |
North Carolina | MEDICAID | 890905J |
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