| Dr Frank Edwin Prukop, OD | |
|
1133 General Cavazos Blvd, Kingsville, TX 78363-7100 | |
| (361) 516-0888 | |
| (361) 516-0880 |
| Full Name | Dr Frank Edwin Prukop |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1133 General Cavazos Blvd, Kingsville, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780719146 | NPI | - | NPPES |
| 14919 | Other | TX | SPECTERA PROVIDER ID |
| 25812 | Other | TX | OPTICARE PROVIDER # |
| 454087 | Other | TX | NVA PROVIDER # |
| 0054FB | Other | TX | BCBS PROVIDER # |
| 5487T | Other | TX | LICENSE # |
| 44212 | Other | TX | DAVIS VISION PROVIDER # |
| 919677 | Other | TX | BLOCK VISION PROVIDER ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5487T (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frank Edwin Prukop, OD 200 Reidda Dr, Kingsville, TX 78363-7701 Ph: (361) 595-4421 | Dr Frank Edwin Prukop, OD 1133 General Cavazos Blvd, Kingsville, TX 78363-7100 Ph: (361) 516-0888 |
J & A Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 219 W Kleberg Ave, Kingsville, TX 78363 Phone: 361-592-6443 | |
Dr. Angelica M. Gonzalez, O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 219 W Kleberg Ave, Kingsville, TX 78363 Phone: 361-592-6443 | |
Dr. Cristian Radaneata, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1016 S 14th St, Kingsville, TX 78363 Phone: 361-592-4744 |