Provider Demographics
NPI:1609936038
Name:VANTUINEN, ARTHUR J (LDO)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:J
Last Name:VANTUINEN
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5057 SPRUCEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1844
Mailing Address - Country:US
Mailing Address - Phone:419-843-5300
Mailing Address - Fax:
Practice Address - Street 1:5307 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-2888
Practice Address - Country:US
Practice Address - Phone:419-841-8550
Practice Address - Fax:419-843-7342
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1421S156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0575090001Medicare ID - Type UnspecifiedPROVIDER ID