Individual provider · NPI-1

Paul Barreda

Technician/Technologist, Optician · Chicago, IL

NPI number1801319538
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1801319538
Entity type
Individual (NPI-1)
Name
Paul Barreda
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

3948 W 26th St
Suite 102
Chicago, IL 60623-3740

Phone 773-542-2020 · Fax 773-542-7050

Mailing address

3948 W 26th St Ste 102
Chicago, IL 60623-3740

Phone 773-542-2020 · Fax 773-542-7050

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