Provider Demographics
NPI:1033141627
Name:CERITANO, FRANCES MERAM (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:MERAM
Last Name:CERITANO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S ADAMS RD
Mailing Address - Street 2:STE 201
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-7008
Mailing Address - Country:US
Mailing Address - Phone:248-577-3659
Mailing Address - Fax:248-588-9320
Practice Address - Street 1:30800 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-7737
Practice Address - Country:US
Practice Address - Phone:248-647-9790
Practice Address - Fax:248-901-1831
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003885152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU70962Medicare UPIN