Provider Demographics
NPI:1548236987
Name:WILMES, AARON R (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:R
Last Name:WILMES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:930 IOWA ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1869
Mailing Address - Country:US
Mailing Address - Phone:785-842-1242
Mailing Address - Fax:785-842-3557
Practice Address - Street 1:930 IOWA STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1869
Practice Address - Country:US
Practice Address - Phone:785-842-1242
Practice Address - Fax:785-842-3557
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-26
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1698152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200268940CMedicaid
KSV01507Medicare UPIN
KS651059Medicare PIN