OrganizationActive
Wallace L Phillips
NPI 1003040452 · Optometrist · Kermit, TX
Provider details
- NPI number
- 1003040452
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Wallace Phillips, Owner(432) 586-3435
- License
- 2869TG (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
103 S East Ave
Kermit, TX 79745-3606
Phone: (432) 586-3435
Fax: (432) 586-6737
Approximate (ZIP-level) locationGet directions
Mailing address
103 S East Ave
Kermit, TX 79745-3606
Other names (DBA / former)
- Doing business as
- Phillips Eye Clinic
Registry dates
- Enumerated
- 2009-05-13
- Last updated
- 2009-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.