MEDICARE: ROBERT JAMES FRANK

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	156FX1800X	Optician

General Provider Information

NPI Number	:	1215363346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JAMES FRANK

Provider Business Mailing Address
First Line	:	PO BOX 1411
Second Line	:
City	:	LAPORTE
State	:	CO
Zip	:	80535-1411
Country	:	US
Telephone Number	:	970-888-0090
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 W 29TH ST
Second Line	:	#200
City	:	LOVELAND
State	:	CO
Zip	:	80538-2459
Country	:	US
Telephone Number	:	970-888-0090
Fax Number	:

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

Provider Enumeration Date	:	09/20/2013
Last Update Date	:	09/20/2013

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Directions to “ ROBERT JAMES FRANK ” Practice Location

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