Provider Demographics
NPI:1952395253
Name:FRANZ, DOUGLAS SCOTT (OD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:SCOTT
Last Name:FRANZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:155 DORSET ST STE E1
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6266
Mailing Address - Country:US
Mailing Address - Phone:802-863-3062
Mailing Address - Fax:802-864-0127
Practice Address - Street 1:155 DORSET ST STE E1
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6266
Practice Address - Country:US
Practice Address - Phone:802-863-3062
Practice Address - Fax:802-864-0127
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007251TUV152W00000X, 152W00000X
VT030.0066965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02979413Medicaid
NYRB8807Medicare PIN