Provider Demographics
NPI:1730538059
Name:FRANKLIN, VANESSA MARGARETTA (OD)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARGARETTA
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:MARGARETTA
Other - Last Name:CEGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:155 NE 100TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-8007
Mailing Address - Country:US
Mailing Address - Phone:206-363-8855
Mailing Address - Fax:206-215-2022
Practice Address - Street 1:1101 MADISON ST STE 600
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1340
Practice Address - Country:US
Practice Address - Phone:206-215-2020
Practice Address - Fax:206-215-2022
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33400152W00000X
390200000X
WAOD60736129152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program