Provider Demographics
NPI:1164596581
Name:FRANKEL, LESTER (OD)
Entity Type:Individual
Prefix:MR
First Name:LESTER
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 GREENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-2200
Mailing Address - Country:US
Mailing Address - Phone:732-356-3060
Mailing Address - Fax:732-805-3032
Practice Address - Street 1:328 GREENBROOK RD
Practice Address - Street 2:
Practice Address - City:GREEN BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08812-2200
Practice Address - Country:US
Practice Address - Phone:732-356-3060
Practice Address - Fax:732-805-3032
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00129800156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4874260001Medicare NSC