Individual
MR. PAUL L. HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004726-1
NY
156FX1800X
Optician
4715
NY
156FX1800X
Optician
6545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00847345
—
NY
Enumeration date
07/11/2006
Last updated
12/28/2007
Update your record
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