Provider Demographics
NPI:1295898294
Name:HOOBYAR, ARBY ROBERT (OD)
Entity type:Individual
Prefix:DR
First Name:ARBY
Middle Name:ROBERT
Last Name:HOOBYAR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:634 SUMMERTON LANE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-7305
Mailing Address - Country:US
Mailing Address - Phone:209-668-9764
Mailing Address - Fax:209-668-7589
Practice Address - Street 1:2955 NORTH TEGNER ROAD
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380
Practice Address - Country:US
Practice Address - Phone:209-668-9764
Practice Address - Fax:209-668-7589
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11358T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11358TOtherSTATE LICENSE
MH0667507OtherDEA
MH0667507OtherDEA