MEDICARE: FRANCES M WARD OD

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	VUT004609	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	410014416	OTHER	NY	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1659364818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES M WARD OD

Provider Business Mailing Address
First Line	:	3921 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2823
Country	:	US
Telephone Number	:	516-781-7771
Fax Number	:	516-409-5807

Provider Business Practice Location Address
First Line	:	3921 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2823
Country	:	US
Telephone Number	:	516-781-7771
Fax Number	:	516-409-5807

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	09/26/2022

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