Provider Demographics
NPI:1992726251
Name:FRANK, HEIDI LOUISE (OD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:LOUISE
Last Name:FRANK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CHELMSFORD ST.
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3099
Mailing Address - Country:US
Mailing Address - Phone:978-256-6565
Mailing Address - Fax:978-256-6565
Practice Address - Street 1:60 CHELMSFORD ST.
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3099
Practice Address - Country:US
Practice Address - Phone:978-256-6565
Practice Address - Fax:978-256-6565
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3893152W00000X
NH0623152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW16029OtherBLUE CROSS BLUE SHIELD
MA410027851OtherMEDICARE RAILROAD
NH410027851OtherMEDICARE RAILROAD
MA110017603AMedicaid
MA0369284Medicaid
NH30008671Medicaid
MAW16029OtherBLUE CROSS BLUE SHIELD
U56861Medicare UPIN
MA0369284Medicaid