Provider Demographics
NPI:1912912593
Name:ARVAS, THOMAS (D,O)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:ARVAS
Suffix:
Gender:M
Credentials:D,O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9204 MENAUL BLVD NE
Mailing Address - Street 2:STE 1
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2256
Mailing Address - Country:US
Mailing Address - Phone:505-293-3515
Mailing Address - Fax:505-293-3274
Practice Address - Street 1:9204 MENAUL BLVD NE
Practice Address - Street 2:STE 1
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2256
Practice Address - Country:US
Practice Address - Phone:505-293-3515
Practice Address - Fax:505-293-3274
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM192152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist