Provider Demographics
NPI:1306916291
Name:AARON, MICHELLE THOMAS (OD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:THOMAS
Last Name:AARON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:THOMAS
Other - Last Name:KOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:U. I.W. SCHOOL OF OPTOMETRY
Mailing Address - Street 2:9725 DATAPOINT DR. CPO8
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-283-6800
Mailing Address - Fax:
Practice Address - Street 1:U. I.W. SCHOOL OF OPTOMETRY
Practice Address - Street 2:9725 DATAPOINT DR. CPO8
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-283-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10800152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist