OrganizationActive
Wallace L Phillips
NPI 1003040452 · Optometrist · Kermit, TX
Wallace L Phillips is a Optometrist organization in Kermit, TX (NPI 1003040452).
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
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 S East Ave
Kermit, TX 79745-3606
Phone: (432) 586-3435
Fax: (432) 586-6737
Street-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
Frequently asked questions
- What is Wallace L Phillips's NPI number?
- Wallace L Phillips's National Provider Identifier (NPI) is 1003040452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace L Phillips?
- Wallace L Phillips is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Wallace L Phillips located?
- Wallace L Phillips's practice location on file with NPPES is 103 S East Ave, Kermit, TX 79745-3606.
- What is Wallace L Phillips's phone number?
- The practice phone number listed in the NPPES registry for Wallace L Phillips is (432) 586-3435.
- Who is the authorized official for Wallace L Phillips?
- The authorized official listed on Wallace L Phillips's NPPES record is Wallace Phillips, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace L Phillips's NPI active?
- Yes — Wallace L Phillips's NPI (1003040452) is active in the NPPES registry as of the last update on 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.