Provider Demographics
NPI:1831284173
Name:BUTHOD, AARON PATRICK (OD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:PATRICK
Last Name:BUTHOD
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 1:3720 N JOSEY LN
Mailing Address - Street 2:SUITE 114
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2481
Mailing Address - Country:US
Mailing Address - Phone:972-395-8434
Mailing Address - Fax:972-395-8435
Practice Address - Street 1:3720 N JOSEY LN
Practice Address - Street 2:SUITE 114
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2481
Practice Address - Country:US
Practice Address - Phone:972-395-8434
Practice Address - Fax:972-395-8435
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6656TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L10697OtherMEDICARE PTAN
TX8L10697OtherMEDICARE PTAN