Provider Demographics
NPI:1558497263
Name:ARTHUR N DONALDSON M D INC
Entity Type:Organization
Organization Name:ARTHUR N DONALDSON M D INC
Other - Org Name:SONORA EYE SURGERY CENTER
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:SUITE 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:SUITE 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:2007-02-26
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA030000368261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA490000762OtherRAILROAD MEDICARE
CASUR51077FMedicaid
CAZZZ16244ZOtherBLUE SHIELD
CA551077FOtherBLUE CROSS
CA551077FOtherBLUE CROSS
CASUR51077FMedicaid