Provider Demographics
NPI:1659364818
Name:WARD, FRANCES M (OD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:WARD
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 1:3921 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2823
Mailing Address - Country:US
Mailing Address - Phone:516-781-7771
Mailing Address - Fax:516-409-5807
Practice Address - Street 1:3921 MERRICK RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-2823
Practice Address - Country:US
Practice Address - Phone:516-781-7771
Practice Address - Fax:516-409-5807
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT004609152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY410014416OtherRAILROAD MEDICARE
NYT49120Medicare UPIN
NY0441710001Medicare NSC
NYC33561Medicare PIN