Provider Demographics
NPI:1518098995
Name:EYE & EAR BW003
Entity Type:Organization
Organization Name:EYE & EAR BW003
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-734-8975
Mailing Address - Street 1:4754 N CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7951
Mailing Address - Country:US
Mailing Address - Phone:561-966-8118
Mailing Address - Fax:561-641-7273
Practice Address - Street 1:542 E WOOLBRIGHT RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6033
Practice Address - Country:US
Practice Address - Phone:561-734-8975
Practice Address - Fax:561-734-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty