Provider Demographics
NPI:1568547537
Name:ARIN, KORAY TOLGA (OD)
Entity Type:Individual
Prefix:
First Name:KORAY
Middle Name:TOLGA
Last Name:ARIN
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 28
Mailing Address - Street 2:
Mailing Address - City:WEST BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01885
Mailing Address - Country:US
Mailing Address - Phone:561-713-4647
Mailing Address - Fax:
Practice Address - Street 1:17 COLBY CT
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6426
Practice Address - Country:US
Practice Address - Phone:603-623-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2008-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH0734152W00000X
MAMA4250152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6692Medicare PIN