Individual
DR. FRANK J. DEGEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
103 UNION ST, LODI, NJ 07644-3226
(973) 473-1073
Mailing address
103 UNION ST, LODI, NJ 07644-3226
(973) 473-1073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA4459
NJ
152WC0802X
Corneal and Contact Management Optometrist
OA4459
NJ
152WL0500X
Low Vision Rehabilitation Optometrist
OA4459
NJ
152WP0200X
Pediatric Optometrist
OA4459
NJ
152WS0006X
Sports Vision Optometrist
OA4459
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10222104
—
NJ
Enumeration date
12/18/2006
Last updated
03/05/2008
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