MEDICARE: TERESA L PAPPA O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3879	OH
2	152WC0802X	Corneal and Contact Management Optometrist	3879	OH

General Provider Information

NPI Number	:	1154535789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA L PAPPA O.D.

Provider Business Mailing Address
First Line	:	2796 BRANDON RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221
Country	:	US
Telephone Number	:	614-487-0525
Fax Number	:

Provider Business Practice Location Address
First Line	:	2765 EASTLAND MALL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4902
Country	:	US
Telephone Number	:	614-866-1779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	09/11/2025

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Directions to “ TERESA L PAPPA O.D.” Practice Location

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