MEDICARE: FRANK R. DAY, O.D., P.C.

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1568039154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK R. DAY, O.D., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 464442
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30042-4442
Country	:	US
Telephone Number	:	770-377-3902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 SCENIC HWY STE 1268
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30045-7822
Country	:	US
Telephone Number	:	678-512-0285
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANK REECE DAY JR.
Credential	:	OD
Telephone Number	:	770-377-3902

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	06/10/2021

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