Provider Demographics
NPI:1497882914
Name:ARTHUR N DONALDSON M D INC
Entity Type:Organization
Organization Name:ARTHUR N DONALDSON M D INC
Other - Org Name:SONORA EYE SURGERY MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:EMILE
Authorized Official - Last Name:ARDRON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-532-0340
Mailing Address - Street 1:940 SYLVA LN
Mailing Address - Street 2:STE.G
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-5969
Mailing Address - Country:US
Mailing Address - Phone:209-532-0340
Mailing Address - Fax:209-532-1687
Practice Address - Street 1:940 SYLVA LN
Practice Address - Street 2:STE.G
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5969
Practice Address - Country:US
Practice Address - Phone:209-532-0340
Practice Address - Fax:209-532-1687
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTHUR N DONALDSON M D INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-28
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLN30207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0085460Medicaid
CAZZZ22745ZOtherBLUE SHIELD
CACP7050OtherRAILROAD MEDICARE
CA1299310001OtherDMERC NORIDIAN
CAZZZ22745ZMedicare PIN
CAZZZ22745ZOtherBLUE SHIELD
CAGR0085460Medicaid