Healthcare Provider Details

I. General information

NPI: 1912435207
Provider Name (Legal Business Name): AARON R THOMAS O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 W BROAD ST STE 231
COLUMBUS OH
43215-5937
US

IV. Provider business mailing address

5632 CLOVERLEAF CT
GROVE CITY OH
43123-9538
US

V. Phone/Fax

Practice location:
  • Phone: 614-224-8005
  • Fax:
Mailing address:
  • Phone: 309-335-1363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.006583
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: