Provider Demographics
NPI:1992014245
Name:ARTHUR W LOW OD & RODNEY M LUM OD PTRS
Entity Type:Organization
Organization Name:ARTHUR W LOW OD & RODNEY M LUM OD PTRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-378-4661
Mailing Address - Street 1:621 E CAMPBELL AVE
Mailing Address - Street 2:SUITE 11-B
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2139
Mailing Address - Country:US
Mailing Address - Phone:408-378-4661
Mailing Address - Fax:408-378-6160
Practice Address - Street 1:621 E CAMPBELL AVE
Practice Address - Street 2:SUITE 11-B
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2139
Practice Address - Country:US
Practice Address - Phone:408-378-4661
Practice Address - Fax:408-378-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADO668AMedicare PIN