Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC2006 | FL |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPC2006 | FL |
N | 152WX0102X | Occupational Vision | OPC2006 | FL |
N | 156FC0800X | Contact Lens | ||
N | 156FC0801X | Contact Lens Fitter | ||
N | 156FX1201X | Optometric Assistant | ||
N | 156FX1800X | Optician |
NPI | 1245222934 |
---|---|
Provider Name | Dr. Carroll Gregory Aker |
First Address | Titusville, FL 32796-3548 |
Second Address | Titusville, FL 32796-3548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 19/09/2007 |