Provider Demographics
NPI:1013533959
Name:PAUL D.A. HEW, O.D., P.A.
Entity Type:Organization
Organization Name:PAUL D.A. HEW, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HEW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-298-7014
Mailing Address - Street 1:6432 SW 93RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2365
Mailing Address - Country:US
Mailing Address - Phone:305-298-7014
Mailing Address - Fax:
Practice Address - Street 1:10404 W FLAGLER ST STE 14
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1667
Practice Address - Country:US
Practice Address - Phone:305-965-4487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty