Provider Demographics
NPI:1750346300
Name:FRAME, JOANNA GAIL (OD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:GAIL
Last Name:FRAME
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JOANNA
Other - Middle Name:FRAME
Other - Last Name:KNAPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:155 RIDGEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-8219
Mailing Address - Country:US
Mailing Address - Phone:304-485-7485
Mailing Address - Fax:304-916-1722
Practice Address - Street 1:416 DIVISION ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5619
Practice Address - Country:US
Practice Address - Phone:304-485-7485
Practice Address - Fax:304-491-6172
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV965OD152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVOO10075000Medicaid
WVOO12571000Medicaid
WVU7314621Medicare UPIN
WVOO10075000Medicaid
WVKN0866072Medicare ID - Type UnspecifiedMEDICARE DR NUMBER