Provider Demographics
NPI:1790739001
Name:CERRONE, FRANKLIN A (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:A
Last Name:CERRONE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:408 E MARKET ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5261
Mailing Address - Country:US
Mailing Address - Phone:434-293-2048
Mailing Address - Fax:434-293-3772
Practice Address - Street 1:408 E MARKET ST
Practice Address - Street 2:SUITE 105
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5261
Practice Address - Country:US
Practice Address - Phone:434-293-2048
Practice Address - Fax:434-293-3772
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0618001316152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010034345Medicaid
VAT26044Medicare UPIN
VA010034345Medicaid