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Phillip Petterborg, OD
NPI 1376536813 · Optometrist · Dover Afb, DE
Phillip Petterborg, OD is a Optometrist provider in Dover Afb, DE (NPI 1376536813).
Provider details
- NPI number
- 1376536813
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- License
- ODP-730 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
300 Tuskegee Blvd
Dover Afb, DE 19902-5300
Phone: (302) 677-2574
Fax: (302) 677-2526
Street-level locationGet directions
Mailing address
906 E Pebworth Rd
Magnolia, DE 19962-1848
Registry dates
- Enumerated
- 2005-08-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Phillip Petterborg's NPI number?
- Phillip Petterborg's National Provider Identifier (NPI) is 1376536813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Petterborg's specialty?
- Phillip Petterborg is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Phillip Petterborg located?
- Phillip Petterborg's practice location on file with NPPES is 300 Tuskegee Blvd, Dover Afb, DE 19902-5300.
- What is Phillip Petterborg's phone number?
- The practice phone number listed in the NPPES registry for Phillip Petterborg is (302) 677-2574.
- Is Phillip Petterborg's NPI active?
- Yes — Phillip Petterborg's NPI (1376536813) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.