Healthcare Provider Details
I. General information
NPI: 1750361416
Provider Name (Legal Business Name): FRANCES C FLOWER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/19/2006
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
676 S BROADWAY ST
AKRON OH
44311-1059
US
IV. Provider business mailing address
3428 W MARKET ST SUITE 103
FAIRLAWN OH
44333-3339
US
V. Phone/Fax
- Phone: 330-344-2020
- Fax: 330-344-4111
- Phone: 330-344-3583
- Fax: 330-869-2074
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 3169 / T11 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: