=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457620676
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARONSON OPTOMETRY, P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2011
-----------------------------------------------------
Last Update Date | 09/11/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6486 LAKE WORTH RD
-----------------------------------------------------
City | GREENACRES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33463-3008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-296-2762
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3583 BIRAGUE DR
-----------------------------------------------------
City | WELLINGTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33449-8059
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-263-2338
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JASON ARONSON
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 954-263-2338
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | FL OPC 3637
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------