National Provider Identifier Database

PAUL R DEWITT, OD – NPI #1366474207
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

PAUL R DEWITT, OD
US HWY 160 & NAVAJO ROUTE 35 - RED MESA
TEEC NOS POS, AZ86514
Phone: 928-656-5000
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for PAUL R DEWITT

NPI Number 1366474207
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/07/2006
Last updated 12/06/2019 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 2320
  • AZ Medicaid: 796063
  • NM Medicaid: 65837533
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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