Provider Demographics
NPI:1417150459
Name:ARNER, PHILIP NEAL (OD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:NEAL
Last Name:ARNER
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:PO BOX 267119
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43226-7119
Mailing Address - Country:US
Mailing Address - Phone:614-863-3937
Mailing Address - Fax:614-863-5010
Practice Address - Street 1:50 MCNAUGHTEN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2120
Practice Address - Country:US
Practice Address - Phone:614-863-3937
Practice Address - Fax:614-863-5010
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5612152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000521750OtherANTHEM
OH7117946OtherAETNA
OH000000521750OtherANTHEM
OHAR4209021Medicare PIN
OHAR4209022Medicare PIN