Provider Demographics
NPI:1982960647
Name:FRAZIER, WILLIAM CHALMER (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CHALMER
Last Name:FRAZIER
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:VANCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41179-6181
Mailing Address - Country:US
Mailing Address - Phone:606-923-5997
Mailing Address - Fax:
Practice Address - Street 1:185 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:VANCEBURG
Practice Address - State:KY
Practice Address - Zip Code:41179-6181
Practice Address - Country:US
Practice Address - Phone:606-923-5997
Practice Address - Fax:606-796-9285
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY605156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician