Provider Demographics
NPI:1053764803
Name:CARUSONE, FRANK A (OD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:A
Last Name:CARUSONE
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 1:715 CALLAHAN DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-1302
Mailing Address - Country:US
Mailing Address - Phone:865-687-1232
Mailing Address - Fax:865-687-8256
Practice Address - Street 1:715 CALLAHAN DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-1302
Practice Address - Country:US
Practice Address - Phone:865-687-1232
Practice Address - Fax:865-687-8256
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007017152W00000X
TN3296152WS0006X, 152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy