Provider Demographics
NPI:1184028458
Name:ARCH FOOTWEAR LLC
Entity Type:Organization
Organization Name:ARCH FOOTWEAR LLC
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIVADENEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-934-1515
Mailing Address - Street 1:172 BROADWAY STE 103
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8077
Mailing Address - Country:US
Mailing Address - Phone:201-934-1515
Mailing Address - Fax:201-934-4080
Practice Address - Street 1:172 BROADWAY STE 103
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8077
Practice Address - Country:US
Practice Address - Phone:201-934-1515
Practice Address - Fax:201-934-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies