Provider Demographics
NPI:1154323442
Name:D'ORIO, FRANK MICHAEL (OD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MICHAEL
Last Name:D'ORIO
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 1:206 N MAIN RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-8201
Mailing Address - Country:US
Mailing Address - Phone:856-691-0720
Mailing Address - Fax:856-691-6163
Practice Address - Street 1:206 N MAIN RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8201
Practice Address - Country:US
Practice Address - Phone:856-691-0720
Practice Address - Fax:856-691-6163
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA05555152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU83347Medicare UPIN
NJ044713Medicare ID - Type Unspecified