=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356567903
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARNOLD P. LAGRAFF & KATHY BIDDINGER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2007
-----------------------------------------------------
Last Update Date | 11/08/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 72 W WASHINGTON ST
-----------------------------------------------------
City | NELSONVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45764-1135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-753-1967
-----------------------------------------------------
Fax | 740-753-3887
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 72 W WASHINGTON ST
-----------------------------------------------------
City | NELSONVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45764-1135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-753-1967
-----------------------------------------------------
Fax | 740-753-3887
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. ARNOLD P LAGRAFF
-----------------------------------------------------
Credential | OD
-----------------------------------------------------
Telephone | 740-753-1967
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 2869
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 4463
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 4820
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------