Provider Demographics
NPI:1215363346
Name:FRANK, ROBERT JAMES
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
Last Name:FRANK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1411
Mailing Address - Street 2:
Mailing Address - City:LAPORTE
Mailing Address - State:CO
Mailing Address - Zip Code:80535-1411
Mailing Address - Country:US
Mailing Address - Phone:970-888-0090
Mailing Address - Fax:
Practice Address - Street 1:1440 W 29TH ST
Practice Address - Street 2:#200
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2459
Practice Address - Country:US
Practice Address - Phone:970-888-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician