Provider Demographics
NPI:1588155360
Name:CHI, AARON (OD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:CHI
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 1:18449 BROOKHURST ST STE 6
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6751
Mailing Address - Country:US
Mailing Address - Phone:714-963-2111
Mailing Address - Fax:
Practice Address - Street 1:18449 BROOKHURST ST STE 6
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6751
Practice Address - Country:US
Practice Address - Phone:714-963-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-28
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34007TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist