Provider Demographics
NPI:1669683868
Name:WESTERLUND, AARON BRENT (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:BRENT
Last Name:WESTERLUND
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 1:106 HARBOR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-9364
Mailing Address - Country:US
Mailing Address - Phone:843-325-7131
Mailing Address - Fax:
Practice Address - Street 1:1516 HWY 17 N
Practice Address - Street 2:UNIT 5
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582
Practice Address - Country:US
Practice Address - Phone:843-325-7131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1306152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist