Provider Demographics
NPI:1609831874
Name:FRAME, RONALD DAVID (OD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DAVID
Last Name:FRAME
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 1:909 STATE ROUTE 555
Mailing Address - Street 2:
Mailing Address - City:LITTLE HOCKING
Mailing Address - State:OH
Mailing Address - Zip Code:45742-5148
Mailing Address - Country:US
Mailing Address - Phone:740-989-0576
Mailing Address - Fax:
Practice Address - Street 1:416 DIVISION ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5619
Practice Address - Country:US
Practice Address - Phone:304-485-7485
Practice Address - Fax:304-916-1722
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV596OD152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0150205000Medicaid
WV0012571000Medicaid
WV9314621Medicare ID - Type UnspecifiedGROUP NUMBER
WV0150205000Medicaid
WVFR4044111Medicare PIN