John Stephen Paul, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2094 Issued in FL

Practice address

3103 Pga Blvd
Palm Beach Gardens, FL 33410-2801

Phone

(561) 624-1760

Fax

(561) 624-1021

NPI assigned

Mar 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619091576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 RIDGE RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334779652",
            "telephone_number": "561-575-2595",
            "fax_number": "561-624-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102801",
            "telephone_number": "561-624-1760",
            "fax_number": "561-624-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rina K Patel, M.D.
• Pathways to Independence, Inc.
• Michele Lee Patrick, RN
• Michael T Patten, M.D.
• Crystal L Paul, LMT
• Josephine Paul
• Marie Lucknie Paul
• Numane Paul
• Pawel D Fotek DMD PLLC (Prestige Periodontal and Implant Center)
• Triton Payne

• Optometrist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.