| Doctor Name: | JAMES PAGANO |
| NPI Number: | 1164727434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | 1891 |
| Business Practice Address: | 10041 Us Highway 19 Ste A Port Richey, FL - 346683785 |
| Business Phone Number: | 7278680780 |
| Business Fax Number: | |
| Mailing Address: | 10041 Us Highway 19 Ste A, PORT RICHEY |
| State: | FL |
| Postal Code: | 346683785 |
| Phone Number: | 7278680780 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2011 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 1891 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |