Provider Demographics
NPI:1932517349
Name:FRANKLIN, MATTHEW GRANT (OD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:GRANT
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2720 OLD ROSEBUD RD
Mailing Address - Street 2:SUITE NUMBER 110
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2720 OLD ROSEBUD RD
Practice Address - Street 2:SUITE NUMBER 110
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-8004
Practice Address - Country:US
Practice Address - Phone:859-373-0300
Practice Address - Fax:859-373-0024
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1955DT152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist