Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

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: July 19, 2026.

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
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

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.

Radiology (Diagnostic Radiology)
300 TUSKEGEE BLVD, 436 MDG CC STE 1B22
DOVER AFB, DE 19902
Radiology (Diagnostic Radiology)
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Family Medicine
300 TUSKEGEE BLVD, 436 MDG
DOVER, DE 19902
Physical Therapist
300 TUSKEGEE BLVD, 436 MEDICAL GROUP
DOVER AFB, DE 19902
Physician Assistant
300 TUSKEGEE BLVD
DOVER AFB, DE 19902
Dietitian, Registered
300 TUSKEGEE BLVD, 436 ADOS SGGZ
DOVER AFB, DE 19902
Social Worker
300 TUSKEGEE BLVD, MENTAL HEALTH FLIGHT
DOVER AFB, DE 19902
Psychologist
300 TUSKEGEE BLVD, 436 MDG
DOVER, DE 19902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376536813, enumerated as an "individual" on August 30, 2005.

The provider is located at 300 TUSKEGEE BLVD DOVER AFB, DE 19902 and the phone number is (302) 677-2574.

Optometrist with taxonomy code 152W00000X.