Provider Demographics
NPI:1174724496
Name:PLUMB, FRANK D (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:D
Last Name:PLUMB
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 1:1933 W BRANDON BLVD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4813
Mailing Address - Country:US
Mailing Address - Phone:813-681-8880
Mailing Address - Fax:813-681-8743
Practice Address - Street 1:1933 W BRANDON BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4813
Practice Address - Country:US
Practice Address - Phone:813-681-8880
Practice Address - Fax:813-681-8743
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1526156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician