MEDICARE: DR. BRICE ANTHONY ARNOLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.006850	OH

General Provider Information

NPI Number	:	1093337925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRICE ANTHONY ARNOLD

Provider Business Mailing Address
First Line	:	1207 WIMBELDON BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-7308
Country	:	US
Telephone Number	:	419-310-7210
Fax Number	:

Provider Business Practice Location Address
First Line	:	337 HARDING WAY W
Second Line	:
City	:	GALION
State	:	OH
Zip	:	44833-1725
Country	:	US
Telephone Number	:	419-310-7210
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2020
Last Update Date	:	05/14/2020

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