| NPI | 1043268733 |
|---|---|
| Former Legal Business Name | CHARLES W PAEPKE OD |
| Entity Type | Organization |
| Authorized Contact | CHARLES W PAEPKE Optometrist 518-563-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV003778-1) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-02-08 |