Provider Demographics
NPI:1306069760
Name:PAULUS, CHRISTOPHER AARON (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:AARON
Last Name:PAULUS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 DEBRA CT
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-6814
Mailing Address - Country:US
Mailing Address - Phone:330-725-0277
Mailing Address - Fax:216-267-1633
Practice Address - Street 1:10200 BROOKPARK RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-1106
Practice Address - Country:US
Practice Address - Phone:216-267-1093
Practice Address - Fax:216-267-1633
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4866152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist