Healthcare Provider Details

I. General information

NPI: 1881818227
Provider Name (Legal Business Name): KUHWALD CONTACT LENS CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 FOULK ROAD SUITE A
WILMINGTON DE
19810
US

IV. Provider business mailing address

2006 FOULK ROAD SUITE A
WILMINGTON DE
19810
US

V. Phone/Fax

Practice location:
  • Phone: 302-475-1000
  • Fax: 302-475-1410
Mailing address:
  • Phone: 302-475-1000
  • Fax: 302-475-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number008289
License Number StateDE

VIII. Authorized Official

Name: MR. E PAUL KUHWALD
Title or Position: PRESIDENT
Credential: CONTACT LENS SPECIAL
Phone: 302-475-1000