Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 3454/T342 | OH |
Y | 152W00000X | Optometrist | OP 1619 | FL |
NPI | 1003819830 |
---|---|
Provider Name | Dr. Barry A Aronson |
First Address | Tampa, FL 33635-1561 |
Second Address | Tampa, FL 33635-1561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 08/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0479950 | (05) | OH |
T47511 | (02) | OH |