Healthcare Provider Details

I. General information

NPI: 1225646755
Provider Name (Legal Business Name): AARON THOMAS HALLING OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 E FRANCIS ST STE 3
NORTH PLATTE NE
69101-6491
US

IV. Provider business mailing address

410 E FRANCIS ST STE 3
NORTH PLATTE NE
69101-6491
US

V. Phone/Fax

Practice location:
  • Phone: 308-534-7100
  • Fax: 308-534-5002
Mailing address:
  • Phone: 308-650-1015
  • Fax: 308-534-5002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1518
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: