Healthcare Provider Details

I. General information

NPI: 1366520751
Provider Name (Legal Business Name): MARTY CARON ARBISO OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MARTY JOSEPH CARON OD

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78560 CA-111 MILAUSKAS EYE INSTITUTE
LA QUINTA CA
92253
US

IV. Provider business mailing address

78560 CA-111 MILAUSKAS EYE INSTITUTE
LA QUINTA CA
92253
US

V. Phone/Fax

Practice location:
  • Phone: 760-564-3887
  • Fax: 760-564-3887
Mailing address:
  • Phone: 760-564-3887
  • Fax: 760-564-3887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number10624T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: