Provider Demographics
NPI:1699731612
Name:LAI, CARA FRASCO (OD, MS, FAAO, DIPL)
Entity type:Individual
Prefix:DR
First Name:CARA
Middle Name:FRASCO
Last Name:LAI
Suffix:
Gender:F
Credentials:OD, MS, FAAO, DIPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 N BREIEL BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3868
Mailing Address - Country:US
Mailing Address - Phone:513-424-0339
Mailing Address - Fax:513-424-4910
Practice Address - Street 1:6655 POST RD STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8214
Practice Address - Country:US
Practice Address - Phone:614-401-4421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5387152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2522292Medicaid
OH4146672Medicare PIN
OH4146671Medicare PIN
OHU96312Medicare UPIN