| NPI | 1649499807 |
|---|---|
| Other Name | PAUL J SUPER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT8867) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OP8867TPG) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-12-23 |