Healthcare Provider Details

I. General information

NPI: 1235303488
Provider Name (Legal Business Name): FRANKLIN EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 RIDDELL ST
GREENFIELD MA
01301-2025
US

IV. Provider business mailing address

PO BOX 10417
HOLYOKE MA
01041-2017
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-7016
  • Fax:
Mailing address:
  • Phone: 413-540-0150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAWN KILLIN
Title or Position: BILLING MGR
Credential:
Phone: 413-540-0150