MEDICARE: DR. BERNARD ARNOLD OD

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	50-00501	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	580002170	OTHER	SC	RR MEDICARE

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	:	1235155292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD ARNOLD OD

Provider Business Mailing Address
First Line	:	1451 BARE RD
Second Line	:
City	:	WEST JEFFERSON
State	:	NC
Zip	:	28694-9183
Country	:	US
Telephone Number	:	843-795-7971
Fax Number	:	843-795-6689

Provider Business Practice Location Address
First Line	:	7685 NORTHWOODS BLVD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4002
Country	:	US
Telephone Number	:	843-795-7971
Fax Number	:	843-795-6689

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	08/23/2017

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