Provider Demographics
NPI:1942707757
Name:ARNESON, BRET D (ABOC, NCLEC, DO)
Entity Type:Individual
Prefix:MR
First Name:BRET
Middle Name:D
Last Name:ARNESON
Suffix:
Gender:M
Credentials:ABOC, NCLEC, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6916 BEVERLY LN
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-4941
Mailing Address - Country:US
Mailing Address - Phone:425-359-4344
Mailing Address - Fax:
Practice Address - Street 1:10200 19TH AVE SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4256
Practice Address - Country:US
Practice Address - Phone:425-379-7490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADO.61178188156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty