Provider Demographics
NPI:1336163120
Name:FRANKEL, HAL SCOTT (OD)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:SCOTT
Last Name:FRANKEL
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 1:310S WEBER RD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5500
Mailing Address - Country:US
Mailing Address - Phone:630-771-0600
Mailing Address - Fax:630-759-9692
Practice Address - Street 1:310S WEBER RD
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-5500
Practice Address - Country:US
Practice Address - Phone:630-771-0600
Practice Address - Fax:630-759-9692
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046-008325152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist