Arnold P. Lagraff & Kathy Biddinger LLC
Organization Active NPI Optometrist · Nelsonville, OH
NPI 1356567903 · NPPES record last updated Nov 8, 2011
Key facts
- NPI
- 1356567903
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4820 (OH)
- Legal business name
- ARNOLD P. LAGRAFF & KATHY BIDDINGER LLC
- Practice address
- 72 W Washington St
Nelsonville, OH 45764-1135 - Phone
- (740) 753-1967
- Fax
- (740) 753-3887
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Arnold P Lagraff, OD
- Title
- Owner
- Phone
- (740) 753-1967
Other NPIs on the same Medicare enrollment 1
Practitioners 5
-
Kathy G. Biddinger, O.D.
-
Kelly Moser, O.D.
-
Shahin Shahinfar, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050207000275 | OH | Part B Supplier - Clinic/Group Practice | 2163473257 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Athens, OH |
National Provider Directory
Locations
199 Columbus Rd
Athens, OH 45701
Phone (740) 593-3191
72 W Washington St
Nelsonville, OH 45764
Phone (740) 753-1967
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2869 | OH | |
| Optometrist |
152W00000X | 4820 | OH | Yes |
| Optometrist |
152W00000X | 4463 | OH |
Addresses
Primary practice location
72 W Washington St
Nelsonville, OH 45764-1135
Mailing address
72 W Washington St
Nelsonville, OH 45764-1135
Phone (740) 753-1967
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147724 | Medicaid | OH |
Other providers in Nelsonville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.