Individual
MR. PAUL ALAN WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2283
GA
152W00000X
Optometrist
2942
TX
152W00000X
Optometrist
Primary
743
TN
152W00000X
Optometrist
829
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3598393
MEDICARE PTAN
TN
Enumeration date
08/28/2006
Last updated
01/13/2017
Update your record
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