Provider Demographics
NPI:1225646755
Name:HALLING, AARON THOMAS (OD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:THOMAS
Last Name:HALLING
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 1:720 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5269
Mailing Address - Country:US
Mailing Address - Phone:308-650-1015
Mailing Address - Fax:
Practice Address - Street 1:1225 S POPLAR ST STE 400
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7785
Practice Address - Country:US
Practice Address - Phone:308-534-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NEPROGRESS152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program