Arvidson, Brian Arthur

Arvidson, Brian Arthur is an individual health care provider with primary practice located at 2517 Ne Kresky Ave , Chehalis WA 98532-2409. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Arvidson, Brian Arthur can be contacted via phone (360) 748-8632.

Contact Information

Primary practice address
2517 Ne Kresky Ave Chehalis WA 98532-2409
Fax: (360) 748-3869
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ATI3220 Oregon
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100229 Idaho
Eye and Vision Services Providers / Optometrist 152W00000X 3220 ATI Oregon
Eye and Vision Services Providers / Optometrist 152W00000X OD60119604 Washington

Profile Details

NPI number 1508050337
LBN Legal business name Arvidson, Brian Arthur
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Nov 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508050337 NPPES
Oregon Other R159615 MEDICARE OR
Oregon Other 00773081 MEDICARE OR
Oregon MEDICAID 2012795 MEDICARE OR
Oregon MEDICAID 274666 MEDICARE OR
Oregon Other G8900939 MEDICARE OR
Oregon Other 1594538 MEDICARE OR

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