Provider Demographics
NPI:1881789154
Name:MIELE, FRANK ANTHONY (OD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ANTHONY
Last Name:MIELE
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 1:36 CHERRY TREE FARM RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2237
Mailing Address - Country:US
Mailing Address - Phone:732-530-8629
Mailing Address - Fax:732-870-0825
Practice Address - Street 1:36 CHERRY TREE FARM RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2237
Practice Address - Country:US
Practice Address - Phone:732-530-8629
Practice Address - Fax:732-870-0825
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOAO04854152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T81544Medicare UPIN
NJ696603Medicare ID - Type Unspecified