Healthcare Provider Details

I. General information

NPI: 1104855865
Provider Name (Legal Business Name): FRANK EYE CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 10/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S MAIN ST
OTTAWA KS
66067-3528
US

IV. Provider business mailing address

1401 S MAIN ST
OTTAWA KS
66067-3528
US

V. Phone/Fax

Practice location:
  • Phone: 785-242-4242
  • Fax: 785-242-7885
Mailing address:
  • Phone: 785-242-4242
  • Fax: 785-242-7885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number04-24676
License Number StateKS

VIII. Authorized Official

Name: DR. KENNETH J FRANK
Title or Position: OWNER
Credential: M.D.
Phone: 785-242-4242