Aaron Richard Mallie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3916 Issued in FL

Practice address

701 N Congress Ave
#2
Boynton Beach, FL 33426-3471

Phone

(561) 732-5667

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aaron R Mallie OD PA

  • Optometrist
  • Boynton Beach, FL
  • NPI 1659677235
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1376563643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 COUNTRY WINDS CV",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637433",
            "telephone_number": "954-873-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CONGRESS AVE",
            "address_2": "#2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263471",
            "telephone_number": "561-732-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIE",
        "first_name": "AARON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Major Physical Therapy Inc
• Maki Ferguson
• Debra Ann Malfatti, LCSW
• Matthew S Malin, BSN, RN, EMT
• Marybeth Ann Malley, LCSW
• Maura Kaye Malloy, PSYD
• Michael Vincent Mamone
• Isaac Manakhimov
• Julia E Mancini, DC
• David L Mandell, MD

• Optometrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.