Provider Demographics
NPI:1811906936
Name:FRANKEN, CHRISTOPHER ANDREW (OD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ANDREW
Last Name:FRANKEN
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:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:KS
Mailing Address - Zip Code:66087-0188
Mailing Address - Country:US
Mailing Address - Phone:785-985-2687
Mailing Address - Fax:
Practice Address - Street 1:120 E. WALNUT ST.
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:KS
Practice Address - Zip Code:66087-0188
Practice Address - Country:US
Practice Address - Phone:785-985-2111
Practice Address - Fax:785-985-2118
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1618152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U90859Medicare UPIN