Provider Demographics
NPI:1962070292
Name:FRANSSEN, PAIGE PARKHURST (OD)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:PARKHURST
Last Name:FRANSSEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:REBECCA
Other - Last Name:PARKHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2630 GLENBROOK CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6164
Mailing Address - Country:US
Mailing Address - Phone:570-240-3502
Mailing Address - Fax:
Practice Address - Street 1:2433 OAK VALLEY DR STE 300
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-7602
Practice Address - Country:US
Practice Address - Phone:734-994-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005549152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist