Provider Demographics
NPI:1457630451
Name:JOSE R ARNAO O.D. P.A.
Entity Type:Organization
Organization Name:JOSE R ARNAO O.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:ARNAO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-347-0435
Mailing Address - Street 1:3676 NW 23RD DR APT 108
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5676
Mailing Address - Country:US
Mailing Address - Phone:954-347-0435
Mailing Address - Fax:352-505-6416
Practice Address - Street 1:6757 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4312
Practice Address - Country:US
Practice Address - Phone:352-331-2040
Practice Address - Fax:352-331-1526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4293152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty