Healthcare Provider Details

I. General information

NPI: 1316002363
Provider Name (Legal Business Name): ARLINGTON OPTOMETRIC GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1354 SOUTH ARLINGTON STREET
AKRON OH
44306
US

IV. Provider business mailing address

1354 SOUTH ARLINGTON STREET
AKRON OH
44306
US

V. Phone/Fax

Practice location:
  • Phone: 330-724-1274
  • Fax: 330-724-2540
Mailing address:
  • Phone: 330-724-1274
  • Fax: 330-724-2540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. VERNON F SIBER
Title or Position: OWNER
Credential: OD
Phone: 330-724-1274