MEDICARE: DR. FRANK LIN 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	7409T	TX

General Provider Information

NPI Number	:	1831322890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK LIN O.D.

Provider Business Mailing Address
First Line	:	4000 N SHEPHERD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-5511
Country	:	US
Telephone Number	:	713-695-1991
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 N SHEPHERD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-5511
Country	:	US
Telephone Number	:	713-695-1991
Fax Number	:

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

Provider Enumeration Date	:	08/25/2009
Last Update Date	:	01/29/2013

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