Healthcare Provider Details

I. General information

NPI: 1285751420
Provider Name (Legal Business Name): FRANK J WON O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 ALLEN ST
SPRINGFIELD MA
01118-1803
US

IV. Provider business mailing address

125 KENNEDY DR STE 400
HAUPPAUGE NY
11788-4017
US

V. Phone/Fax

Practice location:
  • Phone: 413-782-0030
  • Fax: 413-496-1985
Mailing address:
  • Phone: 855-295-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV007114
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: