Individual
PAUL VINCENT PUFFENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4102 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-3699
(513) 425-0817
(513) 425-7101
Mailing address
4102 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-3699
(513) 425-0817
(513) 425-7101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2959 T604
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371057
—
OH
Enumeration date
01/05/2007
Last updated
07/15/2010
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