Phillip E Roy

NPI #1427425222 in Brookfield, Wisconsin

Provider Information

NPI Number: 1427425222
Entity Type: Organization
Organization Name: Phillip E Roy
Primary Specialty: Optometrist
Enumeration Date: Aug 27, 2015
Last Updated: Oct 12, 2015

Practice Location

Address: 16970A W BLUEMOUND RD
City: Brookfield
State: Wisconsin
ZIP Code: 53005-5952
Phone: (262) 797-9322

Authorized Official

Name: PHILLIP ROY, OD
Title: OD/OWNER
Phone: (262) 797-9322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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