Provider Demographics
NPI:1821707969
Name:LISTER, FRANCIS (OD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:LISTER
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 1:1175 MONTGOMERY BLVD APT 106
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2888
Mailing Address - Country:US
Mailing Address - Phone:480-466-8280
Mailing Address - Fax:
Practice Address - Street 1:1332 S PLANO RD STE 112
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5937
Practice Address - Country:US
Practice Address - Phone:972-517-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10732T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist