Provider Demographics
NPI:1275918948
Name:CARLONI, FRANK CHARLES (LO)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:CHARLES
Last Name:CARLONI
Suffix:
Gender:M
Credentials:LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 HAWLEY LN
Mailing Address - Street 2:SUITE 16
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-5330
Mailing Address - Country:US
Mailing Address - Phone:203-378-9462
Mailing Address - Fax:203-380-9462
Practice Address - Street 1:100 HAWLEY LN
Practice Address - Street 2:SUITE 16
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-5330
Practice Address - Country:US
Practice Address - Phone:203-378-9462
Practice Address - Fax:203-380-9462
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001118156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician