Provider Demographics
NPI:1053783845
Name:DR. HEIDI LOUISE FRANK, O.D.
Entity type:Organization
Organization Name:DR. HEIDI LOUISE FRANK, O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-256-6565
Mailing Address - Street 1:60 CHELMSFORD ST
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3099
Mailing Address - Country:US
Mailing Address - Phone:978-256-6565
Mailing Address - Fax:978-455-4859
Practice Address - Street 1:60 CHELMSFORD ST
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3099
Practice Address - Country:US
Practice Address - Phone:978-256-6565
Practice Address - Fax:978-455-4859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0623152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3078479Medicaid