MEDICARE: DR. FRANCES G CLOYD O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1982ATI	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A002	OTHER	OR	TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639172471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCES G CLOYD O.D.

Provider Business Mailing Address
First Line	:	709 S RIVERSIDE AVE
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97501-7837
Country	:	US
Telephone Number	:	541-776-3718
Fax Number	:	541-776-5928

Provider Business Practice Location Address
First Line	:	709 S RIVERSIDE AVE
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97501-7837
Country	:	US
Telephone Number	:	541-776-3718
Fax Number	:	541-776-5928

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/14/2008

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