Provider Demographics
NPI:1396822813
Name:SOBOL, ARNOLD LEE (OD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:LEE
Last Name:SOBOL
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 1:251 NORTH FRONT STREET
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401
Mailing Address - Country:US
Mailing Address - Phone:910-762-2020
Mailing Address - Fax:910-763-4742
Practice Address - Street 1:251 NORTH FRONT STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-762-2020
Practice Address - Fax:910-763-4742
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0463152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909854Medicaid
NC2228852OtherUNITED HEALTHCARE
NC09854OtherBCBS
NC8909854Medicaid
NC246173Medicare ID - Type Unspecified