Provider Demographics
NPI:1548412711
Name:GOLD, AARON SAMUEL (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:SAMUEL
Last Name:GOLD
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 1:304 NW 69TH AVE
Mailing Address - Street 2:APT. #156
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2332
Mailing Address - Country:US
Mailing Address - Phone:954-494-2791
Mailing Address - Fax:
Practice Address - Street 1:304 NW 69TH AVE
Practice Address - Street 2:APT. #156
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2332
Practice Address - Country:US
Practice Address - Phone:954-494-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-18
Last Update Date:2008-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4318152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist