Provider Demographics
NPI:1013066802
Name:CUTLER-FRANKEL, SHELLEY ILENE (OD)
Entity type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:ILENE
Last Name:CUTLER-FRANKEL
Suffix:
Gender:
Credentials:OD
Other - Prefix:DR
Other - First Name:SHELLEY
Other - Middle Name:ILENE
Other - Last Name:CUTLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:51 N. 39TH STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2640
Mailing Address - Country:US
Mailing Address - Phone:215-662-8100
Mailing Address - Fax:215-662-1721
Practice Address - Street 1:51 N. 39TH STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2640
Practice Address - Country:US
Practice Address - Phone:215-662-8100
Practice Address - Fax:215-662-1721
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000949152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UO6323Medicare UPIN
484542Medicare ID - Type Unspecified