Provider Demographics
NPI:1841380045
Name:ROMANO, FRANK ANTHONY (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ANTHONY
Last Name:ROMANO
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 1:4317 WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2206
Mailing Address - Country:US
Mailing Address - Phone:504-467-6238
Mailing Address - Fax:504-467-6838
Practice Address - Street 1:4317 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2206
Practice Address - Country:US
Practice Address - Phone:504-467-6238
Practice Address - Fax:504-467-6838
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA833-091T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA11827OtherCOORDINATED VSION CARE
LA2813OtherDAVIS VISION
LA2814OtherDAVIS VISION
LA1306304Medicaid
LA1306304Medicaid
LAMR1437448OtherDEA NUMBER
LA19540Medicare UPIN