Individual
BRETT MCLEOD PAEPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
202 WEST BAY PLZ, PLATTSBURGH, NY 12901-1786
(518) 563-5460
(888) 244-5003
Mailing address
202 WEST BAY PLZ, PLATTSBURGH, NY 12901-1786
(518) 563-5460
(888) 244-5003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006529-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000415913002
BLSHD NE NY
NY
01
—
P010006529
EXCELLUS
NY
Enumeration date
05/06/2006
Last updated
02/08/2013
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