MEDICARE: DR. AARON MICHAEL RAHN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT002835	GA

General Provider Information

NPI Number	:	1194132951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON MICHAEL RAHN O.D.

Provider Business Mailing Address
First Line	:	6520 ERNEST BARRETT PKWY
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-4571
Country	:	US
Telephone Number	:	770-222-6603
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 ERNEST BARRETT PKWY
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-4571
Country	:	US
Telephone Number	:	770-222-6603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	07/14/2014

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