MEDICARE: DR. VICTOR E ARAI O.D.

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	OP5360	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225009202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR E ARAI O.D.

Provider Business Mailing Address
First Line	:	960 E GREEN ST STE 268
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-304-0757
Fax Number	:	626-304-0758

Provider Business Practice Location Address
First Line	:	960 E GREEN ST STE 268
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2401
Country	:	US
Telephone Number	:	626-304-0757
Fax Number	:	626-304-0758

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	01/19/2023

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