Organization Active NPI

Arrow Vision Center Optometry

  • Optometrist
  • Glendora, CA
National Provider Identifier
1417024225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ARROW VISION CENTER OPTOMETRY
Practice address
409 E Arrow Hwy
Glendora, CA 91740-5607
Phone
(626) 914-2414
Fax
(626) 335-2635
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric BettelheimNPI 1144248766
Title
Optometrist
Phone
(626) 914-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

409 E Arrow Hwy
Glendora, CA 91740-5607

Mailing address

409 E Arrow Hwy
Glendora, CA 91740-5607
Phone (626) 914-2414

National Provider Directory

National Provider Directory
Tax ID family
Arrow Vision Center Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

409 E Arrow Hwy
Glendora, CA 91740
Phone (626) 914-2414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417024225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405607",
            "telephone_number": "626-914-2414",
            "fax_number": "626-335-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405607",
            "telephone_number": "626-914-2414",
            "fax_number": "626-335-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROW VISION CENTER OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETTELHEIM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-914-2414"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.