Healthcare Provider Details

I. General information

NPI: 1700160934
Provider Name (Legal Business Name): AARON C. LAHMAN, OD, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

658 BOULEVARD ST
DOVER OH
44622-2027
US

IV. Provider business mailing address

658 BOULEVARD ST
DOVER OH
44622-2027
US

V. Phone/Fax

Practice location:
  • Phone: 330-343-3213
  • Fax: 330-364-2729
Mailing address:
  • Phone: 330-343-3213
  • Fax: 330-364-2729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOH4854
License Number StateOH

VIII. Authorized Official

Name: DR. AARON C. LAHMAN
Title or Position: SOLE OWNER
Credential: OD
Phone: 330-343-3213