Provider Demographics
NPI:1821167354
Name:FRANKEL, FLOYD M (OD)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:M
Last Name:FRANKEL
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 1:12132 W 87TH STREET PKWY
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2810
Mailing Address - Country:US
Mailing Address - Phone:913-492-3937
Mailing Address - Fax:913-438-1496
Practice Address - Street 1:12132 W 87TH STREET PKWY
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2810
Practice Address - Country:US
Practice Address - Phone:913-492-3937
Practice Address - Fax:913-438-1496
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1100-2152W00000X
MO002314152W00000X
MA2652152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS09760018OtherBCBS OF KC
KSFR540519Medicaid
KS171030OtherNVA
KS135214OtherEYEMED
KS897186FRAOtherUHC
KS060987186OtherTRI CARE
KSFF26712OtherSPECTERA
KS060987186OtherSUPERIOR VISION
KS135214OtherCOLE VISION
KSFF26712OtherSPECTERA
KS897186FRAOtherUHC
KSFF26712OtherSPECTERA
KSFR540519Medicaid