Provider Demographics
NPI:1164467882
Name:SOKOLA, ARLENE T (OD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:T
Last Name:SOKOLA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:ARLENE
Other - Middle Name:T
Other - Last Name:DEEGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2127 MENAUL BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-1714
Mailing Address - Country:US
Mailing Address - Phone:505-884-2020
Mailing Address - Fax:505-880-0029
Practice Address - Street 1:2127 MENAUL BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1714
Practice Address - Country:US
Practice Address - Phone:505-884-2020
Practice Address - Fax:505-880-0029
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2-336152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM23435062Medicaid
NMU50119Medicare UPIN