Provider Demographics
NPI:1831199470
Name:BIZZLE, FRANCES REBECCA (OD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:REBECCA
Last Name:BIZZLE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:BIZZLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:248 DAVORS DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-4210
Mailing Address - Country:US
Mailing Address - Phone:334-260-5599
Mailing Address - Fax:334-271-6363
Practice Address - Street 1:1659 PERRY HILL RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2729
Practice Address - Country:US
Practice Address - Phone:334-271-5101
Practice Address - Fax:334-271-6363
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS476TA326152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL58603Medicare ID - Type Unspecified
ALU01012Medicare UPIN