Provider Demographics
NPI:1538236138
Name:RHOADS, AARON GERALD (OD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:GERALD
Last Name:RHOADS
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 1:112 S MAIN ST # 95
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:IL
Mailing Address - Zip Code:61944-1731
Mailing Address - Country:US
Mailing Address - Phone:217-465-6461
Mailing Address - Fax:
Practice Address - Street 1:112 S MAIN ST # 95
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:IL
Practice Address - Zip Code:61944-1731
Practice Address - Country:US
Practice Address - Phone:217-465-6461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILV04787Medicare UPIN
ILK16949Medicare ID - Type Unspecified