Individual provider Active NPI

Christopher A Frey, OD

  • Optometrist
  • Port St Lucie, FL
National Provider Identifier
1013960483
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3339 Issued in FL
Practice address
514 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734
Phone
(772) 878-3437
Fax
(772) 878-1298
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3339 FL Primary

Addresses

Primary practice location

514 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734

Mailing address

514 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734
Phone (772) 878-3437

Other identifiers 5

IdentifierTypeStateIssuer
4950OtherFLEVOLUTIONS HEALTHCARE SYS
50258OtherFLCOVENTRY HEALTH CARE
19515OtherFLBC/BS PROVIDER #
6599199OtherFLGHI PROVIDER #
539070OtherFLCOVENTRY HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040909000599 FL Practitioner - Optometry 9436125507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert H Fier MdpaGroup PAC ID 6002882172, 5 clinicians

Practice addresses (Care Compare)

1441 SE Ocean Blvd
Stuart, FL 34996-2613
Phone (772) 286-0007

514 NW Prima Vista Blvd
Port St Lucie, FL 34983-8734
Phone (772) 878-3437

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
92.45
Improvement activities
40
Cost
65.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert H Fier Mdpa Optometrist CurrentSince Aug 3, 2004 Accepting new patients
Robert H Fier Mdpa Optometrist CurrentSince Aug 3, 2004 Accepting new patients

Locations

514 SW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 878-3437

1441 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 286-0007

Interoperability endpoints

  • Direct secure messaging: cfrey@tces.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1013960483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-878-3437",
            "fax_number": "772-878-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-878-3437",
            "fax_number": "772-878-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVOLUTIONS HEALTHCARE SYS",
            "identifier": "4950",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "50258",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "19515",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER #",
            "identifier": "6599199",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "539070",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.