Provider Demographics
NPI:1851359004
Name:PAKSIN-HALL, ARRAYA (OD)
Entity Type:Individual
Prefix:DR
First Name:ARRAYA
Middle Name:
Last Name:PAKSIN-HALL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 S SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67217-2807
Mailing Address - Country:US
Mailing Address - Phone:316-264-7300
Mailing Address - Fax:
Practice Address - Street 1:2107 S SENECA ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67213-4222
Practice Address - Country:US
Practice Address - Phone:316-264-7300
Practice Address - Fax:316-264-3237
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1662152W00000X
MO2002015840152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist