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Physician Compare National (NPI:1376605303)

HEALTHCARE PROVIDER: PAUL DOUGLAS TRAPENI JR. O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1376605303
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9638233752
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090203000737
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TRAPENI
Individual professional last name
Provider First Name PAUL
Individual professional first name
Provider Middle Name DOUGLAS
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 23 N LOWRY ST
Group Practice or individual's line 1 address
City SMYRNA
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 371672525
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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