MR. ROBERT E. PHILLIPS (NPI# 1962619916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962619916 |
| Entity Type | Individual |
| Full Name | MR. ROBERT E. PHILLIPS |
| Credential | A.B.O.C. |
| Practice Address |
210 Cornelia St Suite 302 Plattsburgh NY 12901-2318 |
| Practice Telephone | 5185618820 |
| Practice Fax Number | 5185612164 |
| Mailing Telephone | 5185618820 |
| Mailing Fax Number | 5185612164 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
006405 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | ABO CERTIFICATION | 26671 | 01 |
| NY | 02868142 | 05 | |
| NY | OPTICIAN LICENSE | 006405 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307936 | Robert Phillips | Licensed Vocational Nurse | 674 Meherrin Rd, South Hill, VA 23970-6522 | 2019-10-16 |
| 1588179295 | Robert L Phillips | Massage Therapist | 13380 Route 30 Ste 5, N Huntingdon, PA 15642-1125 | 2017-12-05 |
| 1487085262 | Robert E Phillips IIi | Behavioral Analyst | 4092 Memorial Pkwy Sw Ste 105, Huntsville, AL 35802-4365 | 2013-12-04 |
| 1700152600 | Robert Wesley Phillips | Counselor | 818 Coopertown Rd, Unionville, TN 37180-8731 | 2012-03-26 |
| 1568736452 | Robert Owen Phillips | Social Worker | 1311 Highland Rd, Roswell, NM 88201-2144 | 2012-02-24 |
| 1114255676 | Robert Conrad Phillips | Chiropractor | 23900 Clearing Rd, Harrisonville, MO 64701-4410 | 2009-11-20 |
| 1851598791 | Robert E Phillips | Dentist | 201 Dallas Ave, Weatherford, TX 76086 | 2007-07-02 |
| 1427175959 | Robert Ronder Phillips | Counselor | 2125 Glenwood St, Kannapolis, NC 28083-3042 | 2007-03-22 |
| 1245363811 | Robert Levorn Phillips | Dentist | 9822 Ne 23rd St, Oklahoma City, OK 73141-4208 | 2007-03-13 |
| 1558431262 | Robert A Phillips | Dentist | 11740 Olio Road, Suite 100, Fishers, IN 46037 | 2006-11-09 |
| Street Address |
210 CORNELIA ST SUITE 302 |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041989 | Timothy Joel Garrand | Internal Medicine | 210 Cornelia St, Ste 101, Plattsburgh, NY 12901-2318 | 2005-05-27 |
| 1073055489 | Jackie's Enterprises Inc | Durable Medical Equipment & Medical Supplies | 210 Cornelia St, Suite 105, Plattsburgh, NY 12901-2336 | 2016-11-16 |
| 1013293257 | Kevin Alan Greene | Technician/Technologist | 210 Cornelia St, Suite 302, Plattsburgh, NY 12901-2318 | 2011-11-02 |
| 1083915268 | Lake Champlain Physician Services | Internal Medicine | 210 Cornelia St, Suite 303, Plattsburgh, NY 12901-2318 | 2010-11-04 |
| 1720218746 | Dana Elise Gunn | Nurse Practitioner | 210 Cornelia St, Suite 306, Plattsburgh, NY 12901-2318 | 2009-07-24 |
| 1508095399 | Carla Kay Hausrath | Registered Nurse | 210 Cornelia St, Suite 202, Plattsburgh, NY 12901-2318 | 2009-07-14 |
| 1013141860 | Deborah Monroe Kampschror | Physician Assistant | 210 Cornelia St, Suite 101, Plattsburgh, NY 12901-2318 | 2009-05-08 |
| 1245449305 | Robert I. Adler, M.d.,p.c. | Technician/Technologist | 210 Cornelia St, Suite 302, Plattsburgh, NY 12901-2318 | 2007-05-22 |
| 1235283482 | Eric A Gauthier | Internal Medicine | 210 Cornelia St, Suite 101, Plattsburgh, NY 12901-2318 | 2007-01-23 |
| 1205934940 | Zbigniew Wolczynski | Internal Medicine | 210 Cornelia St, Suite 404, Plattsburgh, NY 12901-2318 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013293257 | Kevin Alan Greene | Technician/Technologist | 210 Cornelia St, Suite 302, Plattsburgh, NY 12901-2318 | 2011-11-02 |
| 1851569776 | Spectacle Shoppe LLC | Technician/Technologist | 224 Tom Miller Rd, Plattsburgh, NY 12901-6427 | 2008-02-13 |
| 1467657254 | H Ryder Inc | Technician/Technologist | 224 Tom Miller Rd, Plattsburgh, NY 12901-6427 | 2007-06-20 |
| 1245449305 | Robert I. Adler, M.d.,p.c. | Technician/Technologist | 210 Cornelia St, Suite 302, Plattsburgh, NY 12901-2318 | 2007-05-22 |
| 1285757591 | Michael Peter Jensen | Technician/Technologist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2007-04-10 |
| 1659494151 | Gail Ann Reyell | Technician/Technologist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2007-04-09 |
| 1073636502 | Sheila Ann Harrison | Technician/Technologist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2007-04-09 |
| 1083737571 | Lisa Mary Swift | Technician/Technologist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2007-04-09 |
| 1972626489 | Sean Andrew Martin | Technician/Technologist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2007-04-09 |
| 1740303254 | Colleen Mary Kaulfuss | Technician/Technologist | 450 Margaret St, Plattsburgh, NY 12901-1755 | 2007-04-09 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
Please comment or provide details below to improve the information on MR. ROBERT E. PHILLIPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.