Provider Demographics
NPI:1497016695
Name:FRANKFORD, GINA DOAN (OD)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:DOAN
Last Name:FRANKFORD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 RITCHIE HWY STE E
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2947
Mailing Address - Country:US
Mailing Address - Phone:214-354-3364
Mailing Address - Fax:
Practice Address - Street 1:558 RITCHIE HWY STE E
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2947
Practice Address - Country:US
Practice Address - Phone:214-354-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7858T152W00000X
MDTA2314152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist