Provider Demographics
NPI:1326383431
Name:BOONE, FRANK (OD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:BOONE
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 1:429 ROPER MOUNTAIN RD
Mailing Address - Street 2:BLDG 200
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4254
Mailing Address - Country:US
Mailing Address - Phone:864-372-2020
Mailing Address - Fax:864-234-6654
Practice Address - Street 1:429 ROPER MOUNTAIN RD
Practice Address - Street 2:BLDG 200
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4254
Practice Address - Country:US
Practice Address - Phone:864-372-2020
Practice Address - Fax:864-234-6654
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1076152W00000X
NC1615152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist