MEDICARE: OPTICAS FRANKLIN OPTICAL,LLC

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	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1366739534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTICAS FRANKLIN OPTICAL,LLC

Provider Business Mailing Address
First Line	:	1821 N ZARAGOZA RD
Second Line	:	SUITE 208-A
City	:	EL PASO
State	:	TX
Zip	:	79936-7912
Country	:	US
Telephone Number	:	915-857-2394
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 N ZARAGOZA RD
Second Line	:	SUITE 208-A
City	:	EL PASO
State	:	TX
Zip	:	79936-7912
Country	:	US
Telephone Number	:	915-857-2394
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALEJANDRO RAMIREZ
Credential	:
Telephone Number	:	915-857-2394

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	07/07/2011

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