Provider Demographics
NPI:1770812190
Name:ARKEYE
Entity type:Organization
Organization Name:ARKEYE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:804-733-8274
Mailing Address - Street 1:300 A AVE
Mailing Address - Street 2:BLDG 1605
Mailing Address - City:FORT LEE
Mailing Address - State:VA
Mailing Address - Zip Code:23801-1520
Mailing Address - Country:US
Mailing Address - Phone:479-841-5902
Mailing Address - Fax:804-732-0516
Practice Address - Street 1:300 A AVENUE
Practice Address - Street 2:BLDG 1605
Practice Address - City:FORT LEE
Practice Address - State:VA
Practice Address - Zip Code:23801
Practice Address - Country:US
Practice Address - Phone:256-737-9109
Practice Address - Fax:804-732-0516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001611152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty