Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 101730 | IA |
NPI | 1003256165 |
---|---|
Provider Name | Dr. Samer N Arafat |
First Address | Cedar Rapids, IA 52402-7363 |
Second Address | Cedar Rapids, IA 52402-7363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2013 |
Last Update Date | 22/04/2021 |