Provider Demographics
NPI:1295831998
Name:FRANKEL, RICHARD HOWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:HOWARD
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:FRANKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:777 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1074
Mailing Address - Country:US
Mailing Address - Phone:732-257-9191
Mailing Address - Fax:732-254-2420
Practice Address - Street 1:777 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1074
Practice Address - Country:US
Practice Address - Phone:732-257-9191
Practice Address - Fax:732-254-2420
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00348200152W00000X
NJ27TD00024101152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ521310Medicare UPIN