Provider Demographics
NPI:1821775149
Name:ARCE, FERNANDO (OD)
Entity Type:Individual
Prefix:
First Name:FERNANDO
Middle Name:
Last Name:ARCE
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 1:712 S HOWARD AVE APT 138
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2442
Mailing Address - Country:US
Mailing Address - Phone:773-567-0227
Mailing Address - Fax:
Practice Address - Street 1:13620 UNIVERSITY PLAZA ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4649
Practice Address - Country:US
Practice Address - Phone:813-462-4985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC006276152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist