Provider Demographics
NPI:1689735417
Name:FRANKLIN, RALPH E (OD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:E
Last Name:FRANKLIN
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:PO BOX 540343
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32954-0343
Mailing Address - Country:US
Mailing Address - Phone:321-626-2394
Mailing Address - Fax:
Practice Address - Street 1:237 W COCOA BEACH CSWY
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3538
Practice Address - Country:US
Practice Address - Phone:321-799-1222
Practice Address - Fax:321-608-2394
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1642152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19995Medicare PIN