Provider Demographics
NPI:1194926568
Name:JEAN, FRANTZ DANIEL (DISPENSING OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:FRANTZ
Middle Name:DANIEL
Last Name:JEAN
Suffix:
Gender:M
Credentials:DISPENSING OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 EMILY AVENUE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3626
Mailing Address - Country:US
Mailing Address - Phone:516-326-6488
Mailing Address - Fax:
Practice Address - Street 1:291 UTICA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-4940
Practice Address - Country:US
Practice Address - Phone:718-467-2204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005909156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician