Healthcare Provider Details

I. General information

NPI: 1659364818
Provider Name (Legal Business Name): FRANCES M WARD OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 MERRICK RD
SEAFORD NY
11783-2823
US

IV. Provider business mailing address

3921 MERRICK RD
SEAFORD NY
11783-2823
US

V. Phone/Fax

Practice location:
  • Phone: 516-781-7771
  • Fax: 516-409-5807
Mailing address:
  • Phone: 516-781-7771
  • Fax: 516-409-5807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberVUT004609
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: