Provider Demographics
NPI:1225040132
Name:CUMMINS, ARNOLD A (OD)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:A
Last Name:CUMMINS
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 1:19 POINT O WOODS RD S
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-2919
Mailing Address - Country:US
Mailing Address - Phone:203-656-1445
Mailing Address - Fax:
Practice Address - Street 1:150 BARNUM AVENUE CUTOFF
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614
Practice Address - Country:US
Practice Address - Phone:203-656-1445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2510152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist