Provider Demographics
NPI:1417024225
Name:ARROW VISION CENTER OPTOMETRY
Entity Type:Organization
Organization Name:ARROW VISION CENTER OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BETTELHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-914-2414
Mailing Address - Street 1:409 E ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-5607
Mailing Address - Country:US
Mailing Address - Phone:626-914-2414
Mailing Address - Fax:626-335-2635
Practice Address - Street 1:409 E ARROW HWY
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5607
Practice Address - Country:US
Practice Address - Phone:626-914-2414
Practice Address - Fax:626-335-2635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty