Individual provider Active NPI

Bryan E Frazier, O.D.

  • Optometrist
  • Tyler, TX
National Provider Identifier
1003887670
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04465TG Issued in TX
Practice address
5791 New Copeland Rd
Tyler, TX 75703-3905
Phone
(903) 339-3035
Fax
(903) 339-3036
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04465TG TX Primary

Addresses

Primary practice location

5791 New Copeland Rd
Tyler, TX 75703-3905

Mailing address

5791 New Copeland Rd
Tyler, TX 75703-3905
Phone (903) 339-3035

Other identifiers 1

IdentifierTypeStateIssuer
127245205MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710001007 TX Practitioner - Optometry 2466552161 Reassigns benefits to 1 organization
Practice locations: Jacksonville, TX; Tyler, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frazier Vision, IncorporatedGroup PAC ID 5092005710, 2 clinicians

Practice addresses (Care Compare)

5791 New Copeland Rd
Tyler, TX 75703-3905
Phone (903) 339-3035

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4465TXMDChiropractor
04465TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frazier Vision, Incorporated Optometrist CurrentSince May 12, 2016 Accepting new patients
Jacksonville Hospital LLC Past Accepting new patients

Locations

5791 New Copeland Rd
Tyler, TX 75703
Phone (903) 339-3035

5777 New Copeland Rd
Ste 200
Tyler, TX 75703
Phone (903) 339-3035

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1003887670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5791 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033905",
            "telephone_number": "903-339-3035",
            "fax_number": "903-339-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033905",
            "telephone_number": "903-339-3035",
            "fax_number": "903-339-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "BRYAN",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04465TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127245205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.