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NPI Code Detail

MEDICARE: DR. AARON JAMES EVANS O.D.

MEDICARE:  DR. AARON JAMES EVANS  O.D.
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12943247OTHERFLUNITED HEALTHCARE

General Provider Information

NPI Number : 1811144850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AARON JAMES EVANS O.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 12/09/2009

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