Individual
DR. AARON J. LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
109 W 5TH ST, BENTON, KY 42025-1123
(270) 527-7421
Mailing address
109 W 5TH ST, BENTON, KY 42025-1123
(270) 527-7421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1767DT
KY
174400000X
Specialist
1767DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000624678
ANTHEM BCBS
KY
05
—
7100081660
—
KY
01
—
P00759130
RAILROAD MEDICARE
KY
Enumeration date
07/13/2009
Last updated
06/16/2010
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