IndividualActive
David Phillips
NPI 1760112890 · Optician · Benton, KY
Provider details
- NPI number
- 1760112890
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 110103 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
310 W 5th St
Benton, KY 42025-1102
Phone: (270) 527-1348
Fax: (270) 527-9593
Approximate (ZIP-level) locationGet directions
Mailing address
310 W 5th St
Benton, KY 42025-1102
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.