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Individual
DR. LASSA J FRANK
Active
Individual
DR. LASSA J FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8464TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003748569
CALIFORNIA EMPLOYER ID
CA
01
—
5091080001
DMERC CIGNA SUPPLIER #
CA
01
—
680226455
VISION SERVICE PLAN ID#
CA
01
—
8464TPL
LICENSE NUMBER
CA
01
—
942846602
FEDERAL ID NUMBER
CA
01
—
P00260245
MEDICARE RAILROAD PIN
CA
01
—
SD0084640
BLUE SHIELD PIN
CA
Enumeration date
03/30/2006
Last updated
03/07/2023
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