Provider Demographics
NPI:1801274295
Name:RICCA, AARON M (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:RICCA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 N EAGLE CREEK DR STE 500
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1827
Mailing Address - Country:US
Mailing Address - Phone:859-263-3900
Mailing Address - Fax:859-263-3757
Practice Address - Street 1:120 N EAGLE CREEK DR STE 500
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1827
Practice Address - Country:US
Practice Address - Phone:859-263-3900
Practice Address - Fax:859-263-3757
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2021-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY55107207WX0107X
IAMD-46127207W00000X, 207WX0107X
KYTP864207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology