Organization
PAUL G ROUSSEAU OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GERARD ROUSSEAU OD (DEVELOPMENTAL OPTOMETRIST)
(321) 636-1972
Entity
Organization
Contact information
Practice address
5455 MURRELL RD STE 107, VIERA, FL 32955-6615
(321) 636-1972
(321) 636-1507
Mailing address
5455 MURRELL RD STE 107, VIERA, FL 32955-6615
(321) 636-1972
(321) 636-1507
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPC2641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20396Z
MEDICARE PTAN
FL
Enumeration date
12/31/2009
Last updated
05/03/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up