Provider Demographics
NPI:1912960964
Name:WEINSTEIN, AARON I (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:I
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1215 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1344
Mailing Address - Country:US
Mailing Address - Phone:410-672-2515
Mailing Address - Fax:301-912-2601
Practice Address - Street 1:3080 WALDORF MARKET PL
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4872
Practice Address - Country:US
Practice Address - Phone:301-843-9112
Practice Address - Fax:301-843-9989
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2013-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1142152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU27886Medicare UPIN
MD309L672BMedicare PIN
MDG02089W01Medicare PIN