Provider Demographics
NPI:1588661250
Name:ZBIGNEWICH, FRANK EDWARD (OD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EDWARD
Last Name:ZBIGNEWICH
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 1:101 HERITAGE RUN RD
Mailing Address - Street 2:SUITE2
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1584
Mailing Address - Country:US
Mailing Address - Phone:724-349-4985
Mailing Address - Fax:724-463-9765
Practice Address - Street 1:101 HERITAGE RUN RD
Practice Address - Street 2:SUITE2
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1584
Practice Address - Country:US
Practice Address - Phone:724-349-4985
Practice Address - Fax:724-463-9765
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000673152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011342500002Medicaid
PAMZ0416708OtherDEA NUMBER
PAMZ0416708OtherDEA NUMBER
PAU09626Medicare UPIN
PA410014717Medicare PIN