Provider Demographics
NPI:1629129432
Name:ARLOTTO, THEODORE R (MAMS)
Entity Type:Individual
Prefix:MR
First Name:THEODORE
Middle Name:R
Last Name:ARLOTTO
Suffix:
Gender:M
Credentials:MAMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6315 PEARL ROAD
Mailing Address - Street 2:SUITE 301B
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4133
Mailing Address - Country:US
Mailing Address - Phone:440-289-6977
Mailing Address - Fax:440-845-1805
Practice Address - Street 1:6315 PEARL RD STE 301B
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3074
Practice Address - Country:US
Practice Address - Phone:440-289-6977
Practice Address - Fax:440-244-2743
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
OH0.29156FX1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularist
No174400000XOther Service ProvidersSpecialist