Healthcare Provider Details

I. General information

NPI: 1710736939
Provider Name (Legal Business Name): MOLLY PAPIO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MOLLY MACLEOD OD

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 N BREIEL BLVD
MIDDLETOWN OH
45042-3868
US

IV. Provider business mailing address

315 N BREIEL BLVD
MIDDLETOWN OH
45042-3868
US

V. Phone/Fax

Practice location:
  • Phone: 513-877-6773
  • Fax:
Mailing address:
  • Phone: 937-903-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number007284
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: