MEDICARE: EYE & EAR OF PALM SPRINGS, INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225169691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE & EAR OF PALM SPRINGS, INC.

Provider Business Mailing Address
First Line	:	1742 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2140
Country	:	US
Telephone Number	:	561-964-1333
Fax Number	:	561-964-2406

Provider Business Practice Location Address
First Line	:	1742 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-2140
Country	:	US
Telephone Number	:	561-964-1333
Fax Number	:	561-964-2406

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BARRY A FRANKEL
Credential	:	O.D.
Telephone Number	:	561-964-1333

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	03/31/2014

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