Provider Demographics
NPI:1225009202
Name:ARAI, VICTOR E (OD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:E
Last Name:ARAI
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 1:960 E GREEN ST STE 268
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2401
Mailing Address - Country:US
Mailing Address - Phone:626-304-0757
Mailing Address - Fax:626-304-0758
Practice Address - Street 1:960 E GREEN ST STE 268
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2401
Practice Address - Country:US
Practice Address - Phone:626-304-0757
Practice Address - Fax:626-304-0758
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOP5360152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0053600Medicaid
OP5360Medicare ID - Type Unspecified
T70012Medicare UPIN