Provider Demographics
NPI:1306554563
Name:COSTAS ANDREW FRANGOS OD
Entity type:Organization
Organization Name:COSTAS ANDREW FRANGOS OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTRIX
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-742-7371
Mailing Address - Street 1:15 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3521
Mailing Address - Country:US
Mailing Address - Phone:603-742-7371
Mailing Address - Fax:603-740-9500
Practice Address - Street 1:15 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3521
Practice Address - Country:US
Practice Address - Phone:603-742-7371
Practice Address - Fax:603-740-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty