Healthcare Provider Details

I. General information

NPI: 1265706998
Provider Name (Legal Business Name): RICHARD LAMAR FRANKLIN OPTICAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 BRODIE LN STE 530
SUNSET VALLEY TX
78745-2539
US

IV. Provider business mailing address

5601 BRODIE LN STE 530
SUNSET VALLEY TX
78745-2539
US

V. Phone/Fax

Practice location:
  • Phone: 512-899-2710
  • Fax: 512-899-2710
Mailing address:
  • Phone: 512-899-2710
  • Fax: 512-899-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: