Provider Demographics
NPI:1467469668
Name:FROHN, ROBERT B (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:FROHN
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 1:17139 BELLFLOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5952
Mailing Address - Country:US
Mailing Address - Phone:562-866-2020
Mailing Address - Fax:562-920-3336
Practice Address - Street 1:17139 BELLFLOWER BLVD
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5952
Practice Address - Country:US
Practice Address - Phone:562-866-2020
Practice Address - Fax:562-920-3336
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA 4902 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0049020Medicaid
CAOP4902Medicare PIN
CASD0049020Medicaid
0627730001Medicare NSC