Individual provider · Type 1 NPI

Phillip Warren Petterborg, OD

Optometrist · Dover Afb, DE

NPI number 1376536813 Active

Practice location

300 Tuskegee Blvd
Dover Afb, DE 19902-5300

Fax (302) 677-2526

Mailing address

906 E Pebworth Rd
Magnolia, DE 19962-1848

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XODP-730 (ID)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1376536813

Phillip Warren Petterborg, OD's National Provider Identifier is 1376536813, issued on Aug 30, 2005. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Dover Afb, DE. The record was last updated on Jul 13, 2026.