Doctor Name: | MR. WALTER B. PARIS |
NPI Number: | 1609164482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPTICIAN |
License Number: | SC4818 |
Business Practice Address: | 8210 Macedonia Commons Blvd Unit 52 Macedonia, OH - 440561850 |
Business Phone Number: | 3304683313 |
Business Fax Number: | 3304682955 |
Mailing Address: | 8210 Macedonia Commons Blvd Unit 52, MACEDONIA |
State: | OH |
Postal Code: | 440561850 |
Phone Number: | 3304683313 |
Fax Number: | 3304682955 |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 07/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | SC4818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |