Healthcare Provider Details

I. General information

NPI: 1306228051
Provider Name (Legal Business Name): AARON MICHAEL PUNIM O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 LAKES RD STE 1
MONROE NY
10950-2694
US

IV. Provider business mailing address

91 LAKES RD STE 1
MONROE NY
10950-2694
US

V. Phone/Fax

Practice location:
  • Phone: 845-783-1224
  • Fax: 845-783-3905
Mailing address:
  • Phone: 845-783-1223
  • Fax: 845-783-3905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License NumberORT008263
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberORT008263
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: