NPI 1649265497 · live from the CMS NPI Registry
Stephen J Phipps, M.D.
Ophthalmology in St Johnsbury, VT. National Provider Identifier 1649265497, active.
NPI record
| NPI | 1649265497 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819 |
| Practice phone | 802-748-8126 |
| Mailing address | 1290 Hospital Dr, Suite 5, Saint Johnsbury, VT 05819 |
| Enumerated | September 19, 2005 |
| Last updated | August 8, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 042-0010054 (VT) |
| Ophthalmology | 207W00000X | 10966 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.