Individual
HEATHER L PAULUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1657 HOLLAND RD, SUITE D, MAUMEE, OH 43537-1661
(419) 891-1023
(419) 891-1138
Mailing address
1657 HOLLAND RD, SUITE D, MAUMEE, OH 43537-1661
(419) 891-1023
(419) 891-1138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 6399
OH
152WV0400X
Vision Therapy Optometrist
OPT 6399
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT 6399
OHIO OPTOMETRY LICENSE NUMBER
OH
01
—
T3316
THERAPEUTIC CERTIFICATE NUMBER
OH
Enumeration date
07/20/2015
Last updated
11/03/2015
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