Provider Demographics
NPI:1558361071
Name:SCATTON, FRANK M (OD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:M
Last Name:SCATTON
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 1:940 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-2710
Mailing Address - Country:US
Mailing Address - Phone:570-454-3937
Mailing Address - Fax:570-459-5913
Practice Address - Street 1:940 W 15TH ST
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-2710
Practice Address - Country:US
Practice Address - Phone:570-454-3937
Practice Address - Fax:570-459-5913
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001627152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU26308Medicare UPIN
PA704188Medicare PIN