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General NPI Number Information
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NPI Number | 1891778460
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Entity Type | Individual
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Provider Name | JOSEPH FRANK MARANTO O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 550 POPE AVE MUNSON ARMY HEALTH CTR (ATTN: MCXN-COD, MS. COTTON)
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City | FORT LEAVENWORTH
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State | KS
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Zip | 66027-2332
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Country | US
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Telephone | 913-684-6562
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Fax | 913-684-6208
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Provider Business Mailing Address
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Address Line | 5008 W 128TH ST
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City | LEAWOOD
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State | KS
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Zip | 66209-1880
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Country | US
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Telephone | 913-897-1912
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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 | 1434-3
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | T02512
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License Number State | MO
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