Provider Demographics
NPI:1902170319
Name:ERIN M. PAPP, OD, LLC
Entity type:Organization
Organization Name:ERIN M. PAPP, OD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISTINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-431-5540
Mailing Address - Street 1:25 HIDDEN RAVINES DR STE C
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9884
Mailing Address - Country:US
Mailing Address - Phone:614-431-5540
Mailing Address - Fax:614-431-0480
Practice Address - Street 1:25 HIDDEN RAVINES DR STE C
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9884
Practice Address - Country:US
Practice Address - Phone:614-431-5540
Practice Address - Fax:614-431-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5846152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4267031Medicare PIN