Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PHILLIP WARREN PETTERBORG OD
NPI 1376536813
Optometrist in Dover Afb, DE

Q: What is Phillip Petterborg's NPI number?

The NPI number for Phillip Petterborg is 1376536813. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Phillip Petterborg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 30, 2005

300 TUSKEGEE BLVD, DOVER AFB, DE 19902(302) 677-2574(302) 677-2526 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Phillip Warren Petterborg Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP WARREN PETTERBORG OD (NPI 1376536813) is an individual optometrist in Dover Afb, Delaware, licensed in Idaho (ODP-730) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1376536813

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. PHILLIP WARREN PETTERBORGCredential: OD

Location Address300 TUSKEGEE BLVDDover Afb, DE 19902-5300

Mailing Address906 E Pebworth RdMagnolia, DE 19962-1848 · (302) 697-6176 · Fax (302) 677-2525

Phone(302) 677-2574

Fax(302) 677-2526

Sole ProprietorNo

Enumeration DateAugust 30, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1376536813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in ID · ODP-730

Definition

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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

300 TUSKEGEE BLVD, Dover Afb, DE 19902

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY NICOLE ADAMS MD

Pediatrics

300 TUSKEGEE BLVD
DOVER AFB, DE 19902

Kent County (302) 677-2151

MICHAEL SCOTT RICHARDS DPT

Physical Therapist

300 TUSKEGEE BLVD
DOVER, DE 19902

Kent County (302) 677-2568

DR. ROBERT GRAY M.D.

Family Medicine

300 TUSKEGEE BLVD
DOVER AFB, DE 19902

Kent County (302) 677-5799

DR. PRESCOTT ALLEN MCWILLIAMS DMD

Dentist (General Practice)

300 TUSKEGEE BLVD
DOVER AFB, DE 19902

Kent County (302) 677-2846

MARCELLA MARIE FLEMING RPH

Pharmacist

300 TUSKEGEE BLVD
DOVER AFB, DE 19902

Kent County (302) 677-2547

DR. RACHEL REEDER M.D.

Family Medicine

300 TUSKEGEE BLVD
DOVER AFB, DE 19902

Kent County (302) 677-2600

MS. DEIDRE MONIQUE COOPERWOOD PA-C

Physician Assistant

300 TUSKEGEE BLVD
DOVER AFB, DE 19902

Kent County (302) 677-2600

SARAH HEAD NP

Nurse Practitioner (Psychiatric/Mental Health)

300 TUSKEGEE BLVD
DOVER AFB, DE 19902

Kent County (302) 677-2674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Petterborg's NPI number?

The NPI number for Phillip Petterborg is 1376536813. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Phillip Petterborg located?

Phillip Petterborg practices at 300 Tuskegee Blvd, Dover Afb, DE 19902. The listed phone number is (302) 677-2574.

What is Phillip Petterborg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Phillip Petterborg was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.