Individual provider Active NPI

Michelle L Frye, OD

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1063610517
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003461A Issued in IN
Practice address
902 W Wayne St
Fort Wayne, IN 46802-3976
Phone
(260) 422-0942
NPI assigned
Jul 6, 2007
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003461A IN Primary
Corneal and Contact Management Optometrist 152WC0802X 18003461A IN
Pediatric Optometrist 152WP0200X 18003461A IN
Vision Therapy Optometrist 152WV0400X 18003461A IN

Addresses

Primary practice location

902 W Wayne St
Fort Wayne, IN 46802-3976

Mailing address

902 W Wayne St
Fort Wayne, IN 46802-3976
Phone (260) 422-9421

Other practice location 1

105 W Harvest Rd
Bluffton, IN 46714-9007
Phone (260) 824-3424

Other practice location 2

7030 Pointe Inverness Way Ste 240
Fort Wayne, IN 46804-7925
Phone (260) 436-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160304001091 IN Practitioner - Optometry 7517068679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew D. Mitchell O.D., LLCGroup PAC ID 2062608110, 2 clinicians
William a Argus MD PCGroup PAC ID 4284761222, 4 clinicians

Practice addresses (Care Compare)

105 W Harvest Rd
Bluffton Family Eye Care
Bluffton, IN 46714-0374
Phone (260) 824-3425

7030 Pointe Inverness Way
Suite 240
Fort Wayne, IN 46804-7925
Phone (260) 436-5600

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003461AINMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William a Argus MD PC CurrentSince Jan 1, 2018 Accepting new patients
Matthew D. Mitchell O.D., LLC Optometrist CurrentSince Jul 21, 2016 Accepting new patients
Michelle L. Frye, O.D. LLC CurrentSince Jan 7, 2016 Accepting new patients
American Health Network of Indiana LLC PastSince Jan 1, 2018 Accepting new patients
Dr. William F. Brigham, Optometrist Inc Optometrist PastSince Sep 5, 2023 Accepting new patients
Indiana University Past Accepting new patients
Bluffton Family Eye Care, LLC Optometrist PastSince Jul 21, 2016 Accepting new patients

Locations

105 W Harvest Rd
Bluffton, IN 46714
Phone (219) 824-3424

10240 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 497-8626

7030 Pointe Inverness Way
Ste 240
Fort Wayne, IN 46804
Phone (260) 436-5600

Organizations & group practices 7

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": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1063610517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023976",
            "telephone_number": "260-422-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023976",
            "telephone_number": "260-422-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Harvest Rd",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "IN",
            "postal_code": "467149007",
            "country_code": "US",
            "telephone_number": "260-824-3424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7030 Pointe Inverness Way Ste 240",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468047925",
            "country_code": "US",
            "telephone_number": "260-436-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003461A",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18003461A",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IN",
            "license": "18003461A",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18003461A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.