Provider Demographics
NPI:1831682053
Name:PAUL J.WESLING, O.D., INC.
Entity type:Organization
Organization Name:PAUL J.WESLING, O.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WESLING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:858-232-7669
Mailing Address - Street 1:4009 GOVERNOR DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-2522
Mailing Address - Country:US
Mailing Address - Phone:858-453-0444
Mailing Address - Fax:858-453-0471
Practice Address - Street 1:4009 GOVERNOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-2522
Practice Address - Country:US
Practice Address - Phone:858-453-0444
Practice Address - Fax:858-453-0471
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAUL J. WESLING, O.D., INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty