Douglas L Frohlich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

631 Issued in ND

Practice address

210 10TH St SE
Jamestown, ND 58401-5553

Phone

(701) 252-5000

Fax

(701) 952-5005

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Eyecare Centers, PLLCGroup PAC ID 9739148461, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Eyecare Centers, PLLC

  • Optometrist
  • Jamestown, ND
  • NPI 1699866244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013008655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015553",
            "telephone_number": "701-252-5000",
            "fax_number": "701-952-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015553",
            "telephone_number": "701-252-5000",
            "fax_number": "701-952-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROHLICH",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60627",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "26632",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen Elaine Fraase, RN
• Mandi Freije
• Anthony Ray Freitas, IS 1
• Diana Frenzel
• Sara Marie Frenzel
• Kent S Fronk, O.D.
• Nicole Marie Fuerstenberg
• Mary Beth Fugleberg
• Jessie Kay Fuher, MS, LPC, LPCC
• Julie Gader, MHT

• Optometrist in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.