Healthcare Provider Details

I. General information

NPI: 1699731612
Provider Name (Legal Business Name): CARA FRASCO LAI OD, MS, FAAO, DIPL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 06/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6655 POST RD STE B
DUBLIN OH
43016-8214
US

IV. Provider business mailing address

315 N BREIEL BLVD
MIDDLETOWN OH
45042-3868
US

V. Phone/Fax

Practice location:
  • Phone: 614-401-4421
  • Fax:
Mailing address:
  • Phone: 513-424-0339
  • Fax: 513-424-4910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number5387
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: