Provider Demographics
NPI:1710004783
Name:RAPAPORT, PAULA (OD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:RAPAPORT
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 1:8802 HOLLYHOCK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5016
Mailing Address - Country:US
Mailing Address - Phone:513-931-0673
Mailing Address - Fax:513-931-0673
Practice Address - Street 1:1117 MAGIE AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-1823
Practice Address - Country:US
Practice Address - Phone:513-829-8808
Practice Address - Fax:513-829-5305
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3835 T607152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0627067Medicaid
OH142643OtherCOLE VISION
OH26340OtherSPECTERA
OHOP1212OtherEYEMED
OH30572OtherDAVIS VISION
OHOP1212OtherEYEMED
OH0627067Medicaid