Provider Demographics
NPI:1013997055
Name:SCHLOFMAN, ARTHUR LEONARD (OD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LEONARD
Last Name:SCHLOFMAN
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 1:1105 S WALNUT ST
Mailing Address - Street 2:P.O. BOX 190
Mailing Address - City:STARKE
Mailing Address - State:FL
Mailing Address - Zip Code:32091-4413
Mailing Address - Country:US
Mailing Address - Phone:904-964-8076
Mailing Address - Fax:904-964-8107
Practice Address - Street 1:1105 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:STARKE
Practice Address - State:FL
Practice Address - Zip Code:32091-4413
Practice Address - Country:US
Practice Address - Phone:904-964-8076
Practice Address - Fax:904-964-8107
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 1499152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078000600Medicaid
FL078000600Medicaid
FLT84129Medicare UPIN