Provider Demographics
NPI:1902973142
Name:FRANK, CURTIS RUSSELL (OD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:RUSSELL
Last Name:FRANK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1191 CHESTNUT ST STE 707
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02464-1351
Practice Address - Country:US
Practice Address - Phone:617-243-3937
Practice Address - Fax:617-243-3935
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2022-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA3022152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW17188Medicare ID - Type Unspecified