Provider Demographics
NPI:1093801565
Name:TARBETT, AARON KEITH (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:KEITH
Last Name:TARBETT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 OLD PLANK RD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-8031
Mailing Address - Country:US
Mailing Address - Phone:443-454-5405
Mailing Address - Fax:
Practice Address - Street 1:1601 BRENNER AVENUE
Practice Address - Street 2:HEFNER VA MEDICAL CENTER
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002706152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist