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General NPI Number Information
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NPI Number | 1871593798
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Entity Type | Individual
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Provider Name | FRANK D PUZIO O.D., F.A.A.O.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 38 ROUTE 134
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-3700
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Country | US
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Telephone | 508-394-2211
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Fax | 508-398-4471
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Provider Business Mailing Address
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Address Line | 83 THACHER SHORE RD
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City | YARMOUTH PORT
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State | MA
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Zip | 02675-1127
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Country | US
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Telephone | 508-362-2423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | MA 2462
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License Number State | MA
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