Provider Demographics
NPI:1336266154
Name:HURD, FRANK DONALD (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DONALD
Last Name:HURD
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 1:3745 33RD ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-1556
Mailing Address - Country:US
Mailing Address - Phone:727-525-0006
Mailing Address - Fax:727-521-3694
Practice Address - Street 1:1450 66TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5504
Practice Address - Country:US
Practice Address - Phone:727-381-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 2059152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078701900Medicaid
FL078701900Medicaid