Provider Demographics
NPI:1790823276
Name:ARROW OPTICAL, INC
Entity Type:Organization
Organization Name:ARROW OPTICAL, INC
Other - Org Name:ANNAPOLIS OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CORBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-263-6655
Mailing Address - Street 1:1918 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4319
Mailing Address - Country:US
Mailing Address - Phone:410-263-6655
Mailing Address - Fax:410-263-6656
Practice Address - Street 1:1918 FOREST DR
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4319
Practice Address - Country:US
Practice Address - Phone:410-263-6655
Practice Address - Fax:410-263-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-04
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N.A.332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0434420001Medicare NSC