Individual
DR. AARON S DOUDNA
Active
Individual
DR. AARON S DOUDNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4641/T1416
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169366/6566685
—
OH
01
—
410049131
RAILROAD MEDICARE
OH
01
—
452082001
DMERC PROVIDER #
OH
01
—
9321631
MEDICARE GROUP NUMBER
OH
Enumeration date
07/04/2006
Last updated
06/25/2013
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