Provider Demographics
NPI:1669782785
Name:AWOD, PLLC
Entity type:Organization
Organization Name:AWOD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:T
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-454-4641
Mailing Address - Street 1:8105 SHOAL CREEK BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-8040
Mailing Address - Country:US
Mailing Address - Phone:512-454-4641
Mailing Address - Fax:512-454-1265
Practice Address - Street 1:8105 SHOAL CREEK BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-8040
Practice Address - Country:US
Practice Address - Phone:512-454-4641
Practice Address - Fax:512-454-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty