MEDICARE: DR. AARON BRETT LAWRENCE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4948	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427035930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON BRETT LAWRENCE OD

Provider Business Mailing Address
First Line	:	33 E MAIN ST
Second Line	:
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:	740-826-1111
Fax Number	:	740-825-2222

Provider Business Practice Location Address
First Line	:	33 E MAIN ST
Second Line	:
City	:	NEW CONCORD
State	:	OH
Zip	:	43762-1214
Country	:	US
Telephone Number	:	740-826-1111
Fax Number	:	740-826-2222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	03/14/2018

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