Provider Demographics
NPI:1407074537
Name:KATZ, ARON B (OD)
Entity Type:Individual
Prefix:DR
First Name:ARON
Middle Name:B
Last Name:KATZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1290 SHERMER RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4567
Mailing Address - Country:US
Mailing Address - Phone:847-564-1290
Mailing Address - Fax:847-509-2020
Practice Address - Street 1:1290 SHERMER RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-4567
Practice Address - Country:US
Practice Address - Phone:847-564-1290
Practice Address - Fax:847-509-2020
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0467194152WC0802X, 152WL0500X, 152WP0200X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT95272Medicare UPIN
ILL09494Medicare PIN