Provider Demographics
NPI:1396751574
Name:ARNOLD, CHRISTOPHER WILLIAM (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WILLIAM
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22414 W 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3514
Mailing Address - Country:US
Mailing Address - Phone:913-441-3937
Mailing Address - Fax:913-441-3938
Practice Address - Street 1:22414 W 66TH ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-3514
Practice Address - Country:US
Practice Address - Phone:913-441-3937
Practice Address - Fax:913-441-3938
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1732152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200584210AMedicaid
KS37779021OtherBCBS OF KANSAS CITY
KSRL17001OtherSPECTER
KS4183660002Medicare NSC
KSV09858Medicare UPIN