Provider Demographics
NPI:1407931066
Name:ASMUS, PAULA CAROLINE (OD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:CAROLINE
Last Name:ASMUS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-3947
Mailing Address - Country:US
Mailing Address - Phone:510-235-5228
Mailing Address - Fax:510-235-1847
Practice Address - Street 1:110 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-3947
Practice Address - Country:US
Practice Address - Phone:510-235-5228
Practice Address - Fax:510-235-1847
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9430T152W00000X
CA9430-TPG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00807811OtherEMPLOYER PTAN
CABD832ZOtherPTAN
CAU55435Medicare UPIN