Provider Demographics
NPI:1528254653
Name:FRANKLIN PARK VISION LLC
Entity type:Organization
Organization Name:FRANKLIN PARK VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-472-2020
Mailing Address - Street 1:5577 MONROE ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2549
Mailing Address - Country:US
Mailing Address - Phone:419-472-2020
Mailing Address - Fax:
Practice Address - Street 1:5577 MONROE ST
Practice Address - Street 2:SUITE J
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2549
Practice Address - Country:US
Practice Address - Phone:419-472-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4166T602152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty