Provider Demographics
NPI:1548448988
Name:FRANKLIN D. SELMAN
Entity type:Organization
Organization Name:FRANKLIN D. SELMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:870-234-5757
Mailing Address - Street 1:219 N WASHINGTON
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-2847
Mailing Address - Country:US
Mailing Address - Phone:870-234-5757
Mailing Address - Fax:870-234-4488
Practice Address - Street 1:219 N WASHINGTON
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-2847
Practice Address - Country:US
Practice Address - Phone:870-234-5757
Practice Address - Fax:870-234-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2364332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR0257530001Medicare NSC