Provider Demographics
NPI:1073351854
Name:ARNETT, JOSHUA C (OD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:C
Last Name:ARNETT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 S CAROL MALONE BLVD
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-1357
Mailing Address - Country:US
Mailing Address - Phone:606-474-7833
Mailing Address - Fax:606-474-3563
Practice Address - Street 1:313 S CAROL MALONE BLVD
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-1357
Practice Address - Country:US
Practice Address - Phone:606-474-7833
Practice Address - Fax:606-474-3563
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2415DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist