Provider Demographics
NPI:1033661228
Name:FRENKEL INC.
Entity Type:Organization
Organization Name:FRENKEL INC.
Other - Org Name:LASER VISION OF FORT COLLINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:BERT
Authorized Official - Last Name:FRENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-377-0600
Mailing Address - Street 1:3617 S COLLEGE AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3009
Mailing Address - Country:US
Mailing Address - Phone:970-377-0600
Mailing Address - Fax:970-377-1818
Practice Address - Street 1:3617 S COLLEGE AVE UNIT C
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3009
Practice Address - Country:US
Practice Address - Phone:970-377-0600
Practice Address - Fax:970-377-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR0055310261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery