Provider Demographics
NPI:1194108084
Name:POOLSAAD, AARONSHAWN (OD)
Entity type:Individual
Prefix:
First Name:AARONSHAWN
Middle Name:
Last Name:POOLSAAD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:
Other - Last Name:POOLSAAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:8135 PAINTER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3159
Mailing Address - Country:US
Mailing Address - Phone:562-945-7300
Mailing Address - Fax:888-475-4040
Practice Address - Street 1:8135 PAINTER AVE STE 100
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602
Practice Address - Country:US
Practice Address - Phone:562-945-7300
Practice Address - Fax:888-475-4040
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15269152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist