Provider Demographics
NPI:1437238961
Name:FRANK N.MOORE INC.
Entity Type:Organization
Organization Name:FRANK N.MOORE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-461-2367
Mailing Address - Street 1:8004 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3644
Mailing Address - Country:US
Mailing Address - Phone:918-461-2367
Mailing Address - Fax:918-461-8717
Practice Address - Street 1:8004 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3644
Practice Address - Country:US
Practice Address - Phone:918-461-2367
Practice Address - Fax:918-461-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1138152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100745830AMedicaid
OKP01253703Medicare PIN
OKT89068Medicare UPIN
OKDU2683Medicare PIN
OK1179440001Medicare NSC
OKOKB5360Medicare PIN