Individual provider · NPI-1

Dr. Carroll Gregory Aker, O.D.

Optometrist · Titusville, FL

NPI number1245222934
StatusActive
Last updated in NPPESSep 19, 2007

Details

NPI
1245222934
Entity type
Individual (NPI-1)
Name
Dr. Carroll Gregory Aker
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 18, 2005
Last updated
Sep 19, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPC2006FLYes
152WC0802X Optometrist, Corneal and Contact Managementopc2006FL
152WX0102X Optometrist, Occupational Visionopc2006FL
156FC0800X Technician/Technologist, Contact Lens––
156FC0801X Technician/Technologist, Contact Lens Fitter––
156FX1201X Technician/Technologist, Optometric Assistant––
156FX1800X Technician/Technologist, Optician––

Practice location

338 S Washington Ave
Titusville, FL 32796-3548

Phone 321-269-2021 · Fax 321-269-2119

Mailing address

338 S Washington Ave
Titusville, FL 32796-3548

Phone 321-269-2021 · Fax 321-269-2119

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