| Mary W Frates, OD | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | |
| (863) 680-7000 | |
| (866) 264-8519 |
| Full Name | Mary W Frates |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1600 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043283245 | NPI | - | NPPES |
| 078936400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC2177 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary W Frates, OD Po Box 95004, Lakeland, FL 33804-5004 Ph: (863) 680-7206 | Mary W Frates, OD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 Ph: (863) 680-7000 |
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