Healthcare Provider Details

I. General information

NPI: 1467653246
Provider Name (Legal Business Name): ARKIN EYE CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10161 E PICKWICK CT SUITE C
TRAVERSE CITY MI
49684-5239
US

IV. Provider business mailing address

10161 E PICKWICK CT SUITE C
TRAVERSE CITY MI
49684-5239
US

V. Phone/Fax

Practice location:
  • Phone: 231-935-0630
  • Fax: 231-935-0639
Mailing address:
  • Phone: 231-935-0630
  • Fax: 231-935-0639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberKN002866
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License NumberMA064341
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMA064341
License Number StateMI

VIII. Authorized Official

Name: DR. MARTIN SAMUEL ARKIN
Title or Position: OWNER
Credential: M.D.
Phone: 231-935-0630