Provider Demographics
NPI:1972832442
Name:LAMBSON, AARON DANIEL (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:DANIEL
Last Name:LAMBSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:572 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-6916
Mailing Address - Country:US
Mailing Address - Phone:480-277-0160
Mailing Address - Fax:
Practice Address - Street 1:95 S IDAHO RD STE 170
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85119-0007
Practice Address - Country:US
Practice Address - Phone:480-983-3438
Practice Address - Fax:480-288-4592
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-13
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1714152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist