Provider Demographics
NPI:1265749642
Name:FRANKL, RANDI VERA (OD)
Entity type:Individual
Prefix:DR
First Name:RANDI
Middle Name:VERA
Last Name:FRANKL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:19 DUNSTER STREET
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5002
Mailing Address - Country:US
Mailing Address - Phone:617-354-5590
Mailing Address - Fax:978-537-6030
Practice Address - Street 1:19 DUNSTER STREET
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5002
Practice Address - Country:US
Practice Address - Phone:617-354-5590
Practice Address - Fax:978-537-6030
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4820152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist