Provider Demographics
NPI:1578449989
Name:HALL, AIDAN SPENCER (LDO)
Entity type:Individual
Prefix:
First Name:AIDAN
Middle Name:SPENCER
Last Name:HALL
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 RICK RAMSEY ST
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-4199
Mailing Address - Country:US
Mailing Address - Phone:828-835-3177
Mailing Address - Fax:828-835-3408
Practice Address - Street 1:93 RICK RAMSEY ST
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-4199
Practice Address - Country:US
Practice Address - Phone:828-835-3177
Practice Address - Fax:828-835-3408
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2437156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician