Individual provider Active NPI

Laura Renea Paulus, O.D.

  • Optometrist
  • Findlay, OH
National Provider Identifier
1801069976
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5773T2687 Issued in OH
Practice address
15840 Medical Dr S
Suite a
Findlay, OH 45840-7833
Phone
(419) 422-6190
Fax
(419) 423-3235
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5773T2687 OH Primary

Addresses

Primary practice location

15840 Medical Dr S
Suite a
Findlay, OH 45840-7833

Mailing address

15840 Medical Dr S
Suite a
Findlay, OH 45840-7833
Phone (419) 422-6190

Other identifiers 1

IdentifierTypeStateIssuer
0090517MedicaidOH

Other names 1

  • Laura Renea Storm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5773OHMDPsychologist
5773T2687OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hookway Eye Care Inc Past Accepting new patients
Willard Eye Care Inc Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1801069976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DR S",
            "address_2": "SUITE A",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407833",
            "telephone_number": "419-422-6190",
            "fax_number": "419-423-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DR S",
            "address_2": "SUITE A",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407833",
            "telephone_number": "419-422-6190",
            "fax_number": "419-423-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "LAURA",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5773T2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090517",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "STORM",
            "middle_name": "RENEA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.