NPI 1134170905

Jerry Lynn Phillips, OD

Practitioner Optometrist Eugene, OR

Practice location

Address: 2864 Willamette St Suite 600, Eugene, OR 97405-3297
Phone: (541) 689-2881
Mailing address: 2423 Panorama Dr, Eugene, OR 97405-1481

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2681 ATI (OR)

Other Optometrist providers in Oregon →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oregon →

Registry record

NPI: 1134170905
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2006
Record last updated: 1 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.