Provider Demographics
NPI:1700889185
Name:GORNY, ARLENE HUGHES (OD)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:HUGHES
Last Name:GORNY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-1687
Mailing Address - Country:US
Mailing Address - Phone:609-898-0800
Mailing Address - Fax:609-898-4470
Practice Address - Street 1:937 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-1687
Practice Address - Country:US
Practice Address - Phone:609-898-0800
Practice Address - Fax:609-898-4470
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5336152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU62428Medicare UPIN
NJ1132240001Medicare NSC