Provider Demographics
NPI:1154540805
Name:FRANKLIN A CERRONE, OD
Entity type:Organization
Organization Name:FRANKLIN A CERRONE, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CERRONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:434-293-2048
Mailing Address - Street 1:408 E MARKET ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5261
Mailing Address - Country:US
Mailing Address - Phone:434-293-2048
Mailing Address - Fax:434-292-3772
Practice Address - Street 1:408 E MARKET ST
Practice Address - Street 2:SUITE 105
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5261
Practice Address - Country:US
Practice Address - Phone:434-293-2048
Practice Address - Fax:434-292-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001316152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAT26044Medicare UPIN