Provider Demographics
NPI:1174836670
Name:FRANKEL, BETH A (OD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:FRANKEL
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 1:19420 N 59TH AVE
Mailing Address - Street 2:STE E-525
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6894
Mailing Address - Country:US
Mailing Address - Phone:602-843-2900
Mailing Address - Fax:602-843-0233
Practice Address - Street 1:19420 N 59TH AVE
Practice Address - Street 2:STE E-525
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6894
Practice Address - Country:US
Practice Address - Phone:602-843-2900
Practice Address - Fax:602-843-0233
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1761152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist