Lederer, Paul Joseph

Lederer, Paul Joseph is an individual health care provider with primary practice located at 3250 N. Arlington Heights Rd. Suite 109, Arlington Heights IL 60004-1534. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lederer, Paul Joseph can be contacted via phone (847) 255-1040.

Contact Information

Primary practice address
3250 N. Arlington Heights Rd. Suite 109 Arlington Heights IL 60004-1534
Phone: (847) 255-1040
Fax: (847) 506-0843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 46006351 Illinois

Profile Details

NPI number 1336205368
LBN Legal business name Lederer, Paul Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 23rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336205368 NPPES
Illinois Other 1684003 BLIE CORSS BLUE SHIELD

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