Individual
DR. EDWARD LEE PAUL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH.D.
Contact information
Practice address
1613 MILITARY CUTOFF RD STE 230, WILMINGTON, NC 28403-5745
(910) 256-6364
(910) 256-6617
Mailing address
1613 MILITARY CUTOFF RD STE 230, WILMINGTON, NC 28403-5745
(910) 256-6364
(910) 256-6617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1227
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246507H
MEDICARE PERF PROV #
NC
Enumeration date
01/02/2007
Last updated
06/16/2021
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