Provider Demographics
NPI:1881600062
Name:FRANKEN, ANDREW WILLIAM (OD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:WILLIAM
Last Name:FRANKEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22407 W 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66226-3501
Mailing Address - Country:US
Mailing Address - Phone:913-426-5842
Mailing Address - Fax:913-441-3938
Practice Address - Street 1:22407 W 66TH ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66226-3501
Practice Address - Country:US
Practice Address - Phone:913-426-5842
Practice Address - Fax:913-441-3938
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1742152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200389370DMedicaid
KSV09770Medicare UPIN