Frederick Eye Care PLLC
A Medicare group practice based in Woodward, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3779688171), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3779688171
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20070413000055 | OK | Part B Supplier - Clinic/Group Practice | 1164585758 |
| O20110314000820 | OK | DME Supplier - Physician - Optometrist | 1265760680 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Frederick Eye Care PLLC
- Optometrist
- Frederick, OK
- NPI 1164585758
Practice locations
- Woodward, OK2
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Trey Dean Carlisle, O.D.
- Optometrist
- Beaver, OK
- NPI 1629357116
-
Cooper Free, OD
- Optometrist
- Woodward, OK
- NPI 1134800071
-
Jimmy D Smart, OD
- Optometrist
- Woodward, OK
- NPI 1114983897
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.