Active NPI
Willis Noelle Franklin, O.D.
- Optometrist
- Poplar Bluff, MO
National Provider Identifier
1205143252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2010028684
- Practice address
- 333 S Westwood Blvd
Poplar Bluff, MO 63901-5519 - Phone
- (573) 785-2853
- Fax
- (573) 729-2310
- NPI assigned
- Sep 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2010028684 | MO | Primary |
| Optometrist | 152W00000X | 7597T | TX |
Addresses
Primary practice location
333 S Westwood Blvd
Poplar Bluff, MO 63901-5519
Mailing address
333 S Westwood Blvd
Poplar Bluff, MO 63901-5519
Phone (409) 617-9774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010028684 | MO | MD | Optometrist |
| 7597T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1205143252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015519",
"telephone_number": "409-617-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S WESTWOOD BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015519",
"telephone_number": "573-785-2853",
"fax_number": "573-729-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "WILLIS",
"middle_name": "NOELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-10",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2010028684",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7597T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.