Paul W Teknipp, OPTICIAN

NPI #1669603999 in Willowick, Ohio

Provider Information

NPI Number: 1669603999
Entity Type: Individual
Name: Paul W Teknipp, OPTICIAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Eyewear Supplier
Credential: OPTICIAN
Enumeration Date: Aug 4, 2009
Last Updated: Aug 4, 2009

Practice Location

Address: 32001 VINE ST
City: Willowick
State: Ohio
ZIP Code: 44095-3572
Phone: (440) 347-0696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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