# AARON R MALLIE OD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659677235
- **Authorized official:** DR. AARON RICHARD MALLIE O.D. (OPTOMETRIST)
- **Authorized official phone:** (561) 732-5667

## Contact information

- **Practice address:** 701 N CONGRESS AVE STE 2, BOYNTON BEACH, FL 33426-3418
- **Practice address phone:** (561) 732-5667
- **Practice address fax:** (561) 734-5788
- **Mailing address:** 701 N CONGRESS AVE STE 2, BOYNTON BEACH, FL 33426-3418
- **Mailing address phone:** (561) 732-5667
- **Mailing address fax:** (561) 734-5788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3916 | FL | Yes |

## Other

- **Enumeration date:** 01/31/2011
- **Last updated:** 01/31/2011