Provider Demographics
NPI:1801638911
Name:PALMERI, AARON TYLER (OD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:TYLER
Last Name:PALMERI
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 1:269 DUNBAR RD
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-2901
Mailing Address - Country:US
Mailing Address - Phone:586-808-0776
Mailing Address - Fax:
Practice Address - Street 1:409 N COURT ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1869
Practice Address - Country:US
Practice Address - Phone:330-725-4680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.007305152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist