Organization Active NPI

Dr Frank Degeorge

  • Durable Medical Equipment & Medical Supplies
  • Lodi, NJ
National Provider Identifier
1356597629
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OA004459 Issued in NJ
Legal business name
DR FRANK DEGEORGE
Practice address
103 Union St
Lodi, NJ 07644-3226
Phone
(973) 473-1073
Fax
(973) 473-1658
NPI assigned
Aug 18, 2008
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frank J Degeorge, O.D.NPI 1215090436
Title
Optometrist
Phone
(973) 473-1073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OA004459 NJ Primary
Eyewear Supplier 332H00000X OA004459 NJ

Addresses

Primary practice location

103 Union St
Lodi, NJ 07644-3226

Mailing address

103 Union St
Lodi, NJ 07644-3226
Phone (973) 473-1073

National Provider Directory

National Provider Directory

Locations

103 Union St
Lodi, NJ 07644
Phone (973) 473-1073

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1356597629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 UNION ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443226",
            "telephone_number": "973-473-1073",
            "fax_number": "973-473-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 UNION ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443226",
            "telephone_number": "973-473-1073",
            "fax_number": "973-473-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FRANK DEGEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "DEGEORGE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-473-1073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "OA004459",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NJ",
            "license": "OA004459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.