Provider Demographics
NPI:1841352309
Name:ZIEDENWEBER-SCHWARTZ, ARLENE (OD)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:ZIEDENWEBER-SCHWARTZ
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 1:221 E HARTSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3572
Mailing Address - Country:US
Mailing Address - Phone:914-725-1600
Mailing Address - Fax:914-713-7216
Practice Address - Street 1:221 E HARTSDALE AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3572
Practice Address - Country:US
Practice Address - Phone:914-725-1600
Practice Address - Fax:914-713-7216
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYUT004347-1152W00000X, 152WC0802X, 152WP0200X, 152WS0006X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC40772Medicare PIN