Doctor Name: | JON L FRANK |
NPI Number: | 1114040359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPTICIAN |
License Number: | |
Business Practice Address: | 400 N Main St Piqua, OH - 453562318 |
Business Phone Number: | 9377738023 |
Business Fax Number: | |
Mailing Address: | 400 N Main St, PIQUA |
State: | OH |
Postal Code: | 453562318 |
Phone Number: | 9377738023 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |