Provider Demographics
NPI:1083401913
Name:WHALEY, ARTHUR F JR (OPTICIAN)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:F
Last Name:WHALEY
Suffix:JR
Gender:
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:IMLAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48444-1029
Mailing Address - Country:US
Mailing Address - Phone:810-724-6155
Mailing Address - Fax:810-724-7708
Practice Address - Street 1:125 W 3RD ST
Practice Address - Street 2:
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444-1029
Practice Address - Country:US
Practice Address - Phone:810-724-6155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician