Organization
PAUL W. NIENABER, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WALTER NIENABER OD (OWNER)
(336) 969-5514
Entity
Organization
Contact information
Practice address
300 BETHANIA RURAL HALL RD, HIGHWAY 65 W, RURAL HALL, NC 27045-9281
(336) 969-5514
(336) 969-5515
Mailing address
300 BETHANIA RURAL HALL RD, PO BOX 429, RURAL HALL, NC 27045-9281
(336) 969-5514
(336) 969-5515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1771
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013H8
—
NC
Enumeration date
09/20/2006
Last updated
02/22/2008
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