Provider Demographics
NPI:1831188309
Name:FRANK, ALAN J (OD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:FRANK
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 1:1818 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-1852
Mailing Address - Country:US
Mailing Address - Phone:724-347-7130
Mailing Address - Fax:724-347-7118
Practice Address - Street 1:1818 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-1852
Practice Address - Country:US
Practice Address - Phone:724-347-7130
Practice Address - Fax:724-347-7118
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001108152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP01165114OtherRAILROAD MEDICARE PIN
PAP01165114OtherRAILROAD MEDICARE PIN
PAT72538Medicare UPIN