Provider Demographics
NPI:1497804108
Name:DAY, FRANK REECE JR (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:REECE
Last Name:DAY
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 464442
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30042-4442
Mailing Address - Country:US
Mailing Address - Phone:678-526-0856
Mailing Address - Fax:678-526-2597
Practice Address - Street 1:1250 SCENIC HWY
Practice Address - Street 2:SUITE 1268
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-6359
Practice Address - Country:US
Practice Address - Phone:678-526-0856
Practice Address - Fax:678-526-2597
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0999T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA41ZCBMCMedicare ID - Type Unspecified
GA122710Medicare UPIN