Individual
MRS. REBA JUNE FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
400 RICHMOND RD N STE F, BEREA, KY 40403-1015
(859) 985-0044
(859) 985-0045
Mailing address
400 RICHMOND RD N STE F, BEREA, KY 40403-1015
(859) 985-0044
(859) 985-0045
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52000130
—
KY
01
—
KY1075
EYEMED
KY
Enumeration date
02/14/2007
Last updated
07/08/2007
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