Individual provider Active NPI

Lauri Elizabeth Frazier, O.D.

  • Optometrist
  • Ozark, AL
National Provider Identifier
1043269509
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B17-TA-702 Issued in AL
Practice address
1892 Andrews Ave
Ozark, AL 36360-3724
Phone
(334) 774-4703
NPI assigned
May 10, 2006
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-B17-TA-702 AL Primary

Addresses

Primary practice location

1892 Andrews Ave
Ozark, AL 36360-3724

Mailing address

100 Frankwood Dr
Midland City, AL 36350-6034
Phone (334) 873-4247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20060831000346 AL Practitioner - Optometry 6406850668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5540 W Main St
Suite 3
Dothan, AL 36305-9417
Phone (334) 446-0872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-B17-TA-702ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sight Optical LLC Optometrist CurrentSince Jun 1, 2025 Accepting new patients

Locations

5540 W Main St
Ste 3
Dothan, AL 36305
Phone (334) 446-0872

5937 W Main St
Dothan, AL 36305
Phone (334) 446-0872

Organizations & group practices 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1043269509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FRANKWOOD DR",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363506034",
            "telephone_number": "334-873-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 ANDREWS AVE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603724",
            "telephone_number": "334-774-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "LAURI",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B17-TA-702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.