Provider Demographics
NPI:1659687002
Name:PAULETT, CHRISTOPHER LEWIS (OD/ MS/FAAO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LEWIS
Last Name:PAULETT
Suffix:
Gender:M
Credentials:OD/ MS/FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NMRTU ATSUGI JAPAN
Mailing Address - Street 2:PSC 477 BOX 2
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96306
Mailing Address - Country:US
Mailing Address - Phone:330-548-3814
Mailing Address - Fax:
Practice Address - Street 1:NMRTU ATSUGI
Practice Address - Street 2:BLDG 21
Practice Address - City:AYASE-SHI
Practice Address - State:KANAGAWA-KEN
Practice Address - Zip Code:2521101
Practice Address - Country:JP
Practice Address - Phone:330-548-3814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5968390200000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program