Individual
PAULA SUE MINTCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1995 SPRINGBROOK SQUARE DR, SUITE111, NAPERVILLE, IL 60564-5951
(630) 961-0300
(630) 961-0301
Mailing address
1995 SPRINGBROOK SQUARE DR, SUITE111, NAPERVILLE, IL 60564-5951
(630) 961-0300
(630) 961-0301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009355
IL
152W00000X
Optometrist
OPC 3712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20109
BCB S OF FLORIDA
FL
05
—
620782100
—
FL
Enumeration date
06/04/2006
Last updated
08/29/2023
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