Aaron Justin Tai, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004020A Issued in IN

Practice address

10967 Allisonville Rd Ste 120
Fishers, IN 46038

Phone

(317) 577-0707

Fax

(317) 577-1567

NPI assigned

Jun 20, 2017

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

Not listed in the public Medicare enrollment file

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.

• Aecc LLC

  • Optometrist
  • Fishers, IN
  • NPI 1821867649
  NPD

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1912437146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD STE 120",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382634",
            "telephone_number": "317-577-0707",
            "fax_number": "317-577-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 ALLISONVILLE RD STE 120",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "317-577-0707",
            "fax_number": "317-577-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 W 161st St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460748566",
            "country_code": "US",
            "telephone_number": "317-867-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAI",
        "first_name": "AARON",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004020A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Szafarczyk Banks, EDS
• Sarah Jo Szerlong
• Stanley Joseph Szwast, M.D.
• Kelli Szymanski, RD, CD
• T.O.T.S. LLC
• Elizabeth Michelle Taibleson, LMHCA
• Michael K Talbott, DDS
• Elissa Tam
• John Christopher Formoso Tang, D.O.
• Kamryn Tate

• Optometrist in Fishers, IN
• Providers in Fishers, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.