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General NPI Number Information
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NPI Number | 1255597688
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Entity Type | Organization
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Legal Business Name | PAULUS EYECARE ASSOCIATES INC
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 455 E MARKET ST
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City | TIFFIN
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State | OH
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Zip | 44883-1769
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Country | US
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Telephone | 419-447-5616
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Fax | 567-220-6871
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Provider Business Mailing Address
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Address Line | 478 W MARKET ST
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City | TIFFIN
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State | OH
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Zip | 44883-2610
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Country | US
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Telephone | 419-447-5616
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Fax | 567-220-6871
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Authorized Official
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Title or Position | OWNER
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Name | BENNETT PAULUS
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Credential |
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Telephone | 419-447-5616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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