Provider Demographics
NPI:1689980898
Name:H. RANDOLPH FRANK, M.D. P.C.
Entity Type:Organization
Organization Name:H. RANDOLPH FRANK, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:H.
Authorized Official - Middle Name:RANDOLPH
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:719-594-9800
Mailing Address - Street 1:6197 LEHMAN DR
Mailing Address - Street 2:SUITE101
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3437
Mailing Address - Country:US
Mailing Address - Phone:719-594-9800
Mailing Address - Fax:719-265-9188
Practice Address - Street 1:6197 LEHMAN DR
Practice Address - Street 2:SUITE101
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3437
Practice Address - Country:US
Practice Address - Phone:719-594-9800
Practice Address - Fax:719-265-9188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20748152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COE06416Medicare UPIN