Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 3879 | OH |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3879 | OH |
NPI | 1154535789 |
---|---|
Provider Name | Teresa L Pappa |
First Address | Columbus, OH 43221 |
Second Address | Columbus, OH 43232-4902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T48759 | (02) | OH |