Provider Demographics
NPI:1811126154
Name:PAPP, ERIN MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MARIE
Last Name:PAPP
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:BRACKNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:25 HIDDEN RAVINES DR STE C
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9884
Mailing Address - Country:US
Mailing Address - Phone:614-431-5540
Mailing Address - Fax:614-431-0480
Practice Address - Street 1:25 HIDDEN RAVINES DR STE C
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9884
Practice Address - Country:US
Practice Address - Phone:614-431-5540
Practice Address - Fax:614-431-0480
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5846152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4267031Medicare PIN
OH4267031Medicare PIN