Provider Demographics
NPI:1922094713
Name:PAPERNICK, H ARNOLD (OD)
Entity Type:Individual
Prefix:
First Name:H ARNOLD
Middle Name:
Last Name:PAPERNICK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1803
Mailing Address - Country:US
Mailing Address - Phone:724-547-5711
Mailing Address - Fax:724-547-2022
Practice Address - Street 1:705 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1803
Practice Address - Country:US
Practice Address - Phone:724-547-5711
Practice Address - Fax:724-547-2022
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE4389 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005453690001Medicaid
PAU07973Medicare UPIN
PA0005453690001Medicaid
PA0328050001Medicare NSC