Provider Demographics
NPI:1336352038
Name:LASER FOOT CARE CENTER, INC
Entity Type:Organization
Organization Name:LASER FOOT CARE CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:ARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:330-835-3685
Mailing Address - Street 1:2495 OLENTANGY DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2831
Mailing Address - Country:US
Mailing Address - Phone:330-835-3685
Mailing Address - Fax:
Practice Address - Street 1:2495 OLENTANGY DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-2831
Practice Address - Country:US
Practice Address - Phone:330-835-3685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002070213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0491570Medicaid
OHT80528Medicare UPIN
OH9273841Medicare ID - Type Unspecified
OH0326220001Medicare NSC
OHAR0515483Medicare ID - Type UnspecifiedDR. ARONSON