Provider Demographics
NPI:1942447388
Name:FRANKLIN, CHARLENE ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:ANN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8618 FONTAINBLEU
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4602
Mailing Address - Country:US
Mailing Address - Phone:713-907-2631
Mailing Address - Fax:
Practice Address - Street 1:3836 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5802
Practice Address - Country:US
Practice Address - Phone:713-355-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4648T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU47825Medicare UPIN