MEDICARE: DR. ALAN FRANK O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0B008671	PA

General Provider Information

NPI Number	:	1033297361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN FRANK O.D.

Provider Business Mailing Address
First Line	:	731 SCRANTON CARBONDALE HWY
Second Line	:
City	:	EYNON
State	:	PA
Zip	:	18403-1021
Country	:	US
Telephone Number	:	570-876-2020
Fax Number	:	570-876-3200

Provider Business Practice Location Address
First Line	:	731 SCRANTON CARBONDALE HWY
Second Line	:
City	:	EYNON
State	:	PA
Zip	:	18403-1021
Country	:	US
Telephone Number	:	570-876-2020
Fax Number	:	570-876-3200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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