Provider Demographics
NPI:1477736395
Name:FRANK W. HULL, M.D.
Entity type:Organization
Organization Name:FRANK W. HULL, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:W
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-422-6500
Mailing Address - Street 1:1710 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-3589
Mailing Address - Country:US
Mailing Address - Phone:707-422-6500
Mailing Address - Fax:707-422-6556
Practice Address - Street 1:1710 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-3589
Practice Address - Country:US
Practice Address - Phone:707-422-6500
Practice Address - Fax:707-422-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty