Provider Demographics
NPI:1467760652
Name:ARLINGTON CONTACT LENS SERVICE, INC
Entity Type:Organization
Organization Name:ARLINGTON CONTACT LENS SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-921-2552
Mailing Address - Street 1:4265 DIPLOMACY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-3834
Mailing Address - Country:US
Mailing Address - Phone:614-921-9833
Mailing Address - Fax:614-921-9866
Practice Address - Street 1:4265 DIPLOMACY DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3834
Practice Address - Country:US
Practice Address - Phone:614-921-9833
Practice Address - Fax:614-921-9866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier