Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Phillip Warren Petterborg, OD

Individual provider Optometrist · NPI 1376536813

Dr. Phillip Warren Petterborg, OD is an Optometrist in Dover AFB, Delaware. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

300 Tuskegee Blvd
Dover AFB, DE 19902-5300
Phone: (302) 677-2574
Fax: (302) 677-2526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-730 (ID)

Record details

NPI number1376536813
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESJuly 13, 2026
Mailing address906 E Pebworth Rd, Magnolia, DE 19962-1848

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