NPI 1255302287 · live from the CMS NPI Registry
Jonathan Daniel Paul, M.D.
Ophthalmology in Burlington, VT. National Provider Identifier 1255302287, active.
NPI record
| NPI | 1255302287 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-3843 |
| Mailing address | 100 East California Blvd, Pasadena, CA 91105 |
| Enumerated | January 28, 2006 |
| Last updated | September 4, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Glaucoma Specialist | 207WX0009X | 148289 (CA) |
| Ophthalmology primary | 207W00000X | 042.0012437 (VT) |
| Ophthalmology | 207W00000X | 49087 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.