Provider Demographics
NPI:1366435604
Name:HOUSER, FRANK E (OD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:HOUSER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:13170 ATLANTIC BLVD
Mailing Address - Street 2:SUITE 53
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-6149
Mailing Address - Country:US
Mailing Address - Phone:904-221-6500
Mailing Address - Fax:904-221-6504
Practice Address - Street 1:13170 ATLANTIC BLVD
Practice Address - Street 2:SUITE 53
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-6149
Practice Address - Country:US
Practice Address - Phone:904-221-6500
Practice Address - Fax:904-221-6504
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 2425152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1841514320OtherCORPORATE NPI
FL20317Medicare PIN
FL1841514320OtherCORPORATE NPI