Healthcare Provider Details

I. General information

NPI: 1144220443
Provider Name (Legal Business Name): FRANK MICHAEL FREEMAN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 12TH AVE NW
ARAB AL
35016-1977
US

IV. Provider business mailing address

PO BOX 583
ARAB AL
35016-0583
US

V. Phone/Fax

Practice location:
  • Phone: 256-586-4171
  • Fax: 256-586-9790
Mailing address:
  • Phone: 256-586-4171
  • Fax: 256-586-9790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS356TA201
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: