David Frazier

NPI 1174090443 · on the registry since 2018 · sole proprietor

Practice

Address: 3134 E 79th Ave
Merrillville, IN 46410
Phone: (219) 945-1754
Organisation at this address: Sams East Inc
Isaac I-Care, Llc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 237700000X
237700000X
Also registered as: 237700000X
261QH0700X
261QR0400X
261QR1100X
332S00000X
Licence states on file: IL, IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana