Provider Demographics
NPI:1356572994
Name:ZOE INC.
Entity type:Organization
Organization Name:ZOE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ARNDT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:757-875-0675
Mailing Address - Street 1:6515 GEORGE WASHINGTON MEM HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-2182
Mailing Address - Country:US
Mailing Address - Phone:757-875-0675
Mailing Address - Fax:757-875-0695
Practice Address - Street 1:6515 GEORGE WASHINGTON MEM HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23692-2182
Practice Address - Country:US
Practice Address - Phone:757-875-0675
Practice Address - Fax:757-875-0695
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZOE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0603000268152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA410047762OtherRAILROAD MEDICARE
VA009820910Medicaid
VA323483OtherANTHEM
VA009820910Medicaid
VA0968540001Medicare NSC
VA323483OtherANTHEM