Provider Demographics
NPI:1235109240
Name:ARBAUGH AND REUTER PC
Entity Type:Organization
Organization Name:ARBAUGH AND REUTER PC
Other - Org Name:ALPINE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:719-520-3333
Mailing Address - Street 1:6091 N ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-5413
Mailing Address - Country:US
Mailing Address - Phone:719-520-3333
Mailing Address - Fax:719-559-0856
Practice Address - Street 1:6091 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5413
Practice Address - Country:US
Practice Address - Phone:719-520-3333
Practice Address - Fax:719-559-0856
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARBAUGH AND REUTER PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-23
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2204152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO96174552Medicaid
CO96174552Medicaid