Healthcare Provider Details

I. General information

NPI: 1639850340
Provider Name (Legal Business Name): FRAMED LENS OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 JEFFERSON AVE
CINCINNATI OH
45215-3235
US

IV. Provider business mailing address

1009 JEFFERSON AVE
CINCINNATI OH
45215-3235
US

V. Phone/Fax

Practice location:
  • Phone: 513-332-1993
  • Fax:
Mailing address:
  • Phone: 513-332-1993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332G00000X
TaxonomyEye Bank
License Number
License Number State

VIII. Authorized Official

Name: KAYLA BANKHEAD
Title or Position: OWNER
Credential:
Phone: 513-332-1993