Aaron R Mallie OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3916 Issued in FL

Legal business name

AARON R MALLIE OD PA

Practice address

701 N Congress Ave Ste 2
Boynton Beach, FL 33426-3418

Phone

(561) 732-5667

Fax

(561) 734-5788

NPI assigned

Jan 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Richard Mallie, O.D.NPI 1376563643

Title

Optometrist

Phone

(561) 732-5667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Richard Mallie, O.D.

  • Optometrist
  • Boynton Beach, FL
  • NPI 1376563643
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1659677235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N CONGRESS AVE STE 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263418",
            "telephone_number": "561-732-5667",
            "fax_number": "561-734-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CONGRESS AVE STE 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263418",
            "telephone_number": "561-732-5667",
            "fax_number": "561-734-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON R MALLIE OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "MALLIE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "561-732-5667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.