| Doctor Name: | DR. PAUL H FOELLER |
| NPI Number: | 1861488173 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | 2160 |
| Business Practice Address: | 109 Main St Canaan, CT - 060182463 |
| Business Phone Number: | 8608245060 |
| Business Fax Number: | 8608249942 |
| Mailing Address: | Po Box 71, CANAAN |
| State: | CT |
| Postal Code: | 060180071 |
| Phone Number: | 8608245060 |
| Fax Number: | 8608249942 |
| NPI Enumeration Date: | 09/22/2005 |
| NPI Last Update Date: | 01/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 2160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |