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NPI Code Detail

MEDICARE: AARON J. EVANS O.D. P.A.

MEDICARE: AARON J. EVANS O.D. P.A.
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
1152W00000XOptometristOPC4314FL

General Provider Information

NPI Number : 1689904575
Entity Type Code : Organization
Provider Name (Legal Business Name) : AARON J. EVANS O.D. P.A.
Provider Business Mailing Address
First Line : 333 PLAZA REAL
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-3938
Country : US
Telephone Number : 561-392-8383
Fax Number : 561-392-1134
Provider Business Practice Location Address
First Line : 333 PLAZA REAL
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-3938
Country : US
Telephone Number : 561-392-8383
Fax Number : 561-392-1134
Authorized Official
Title or Position : PRESIDENT
Name : DR. AARON JAMES EVANS
Credential : O.D.
Telephone Number : 561-392-8383
Provider Enumeration Date : 12/28/2009
Last Update Date : 12/01/2011

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