Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0800X | Contact Lens | ||
N | 156FC0801X | Contact Lens Fitter | ||
Y | 156FX1800X | Optician | DE |
NPI | 1841662269 |
---|---|
Provider Name | Paul Flowers |
First Address | Wilmington, DE 19805-3031 |
Second Address | Wilmington, DE 19805-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2015 |
Last Update Date | 25/10/2015 |