Provider Demographics
NPI:1073538310
Name:STARR, ARTHUR JOSEPH (OD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:STARR
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 1:1317 S MAIN RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6511
Mailing Address - Country:US
Mailing Address - Phone:856-691-2248
Mailing Address - Fax:
Practice Address - Street 1:1317 S MAIN RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6511
Practice Address - Country:US
Practice Address - Phone:856-691-2248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4082152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1079808Medicaid
NJDC5481OtherRAILROAD MEDICARE
NJ466692TJ9OtherMEDICARE
NJT77858Medicare UPIN
NJ466692 AWUMedicare ID - Type UnspecifiedMEDICARE