Basic Information
| Provider Information | |||||||||
| NPI: | 1235551193 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARAN EYE ASSOCIATES PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 951 S LE JEUNE RD | ||||||||
| Address2: | SUITE 200, ADMINISTRATION | ||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331342616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054422020 | ||||||||
| FaxNumber: | 3054427354 | ||||||||
| Practice Location | |||||||||
| Address1: | 814 PONCE DE LEON BLVD | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331343049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054422020 | ||||||||
| FaxNumber: | 3054427098 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2014 | ||||||||
| LastUpdateDate: | 01/13/2014 | ||||||||
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| AuthorizedOfficialLastName: | ARAN | ||||||||
| AuthorizedOfficialFirstName: | ALBERTO | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3054422020 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 052584700 | 05 | FL | MEDICAID |