Individual provider Active NPI

William Trump Frye, OD

  • Optometrist
  • Tullahoma, TN
National Provider Identifier
1083687230
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
657 Issued in TN
Practice address
1802 N Jackson St
Ste# 830
Tullahoma, TN 37388-8218
Phone
(931) 455-2020
Fax
(931) 455-5467
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 657 TN Primary

Addresses

Primary practice location

1802 N Jackson St
Ste# 830
Tullahoma, TN 37388-8218

Mailing address

321 Marks Ave
Tullahoma, TN 37388-6213
Phone (931) 455-3262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20110215000150 TN Practitioner - Optometry 0446211593 Reassigns benefits to 1 organization
Practice locations: Tullahoma, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drake Eye Care and Eyewear PLLC CurrentSince Jan 24, 2022 Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
C&V Opticals,Inc. Past Accepting new patients
Eyecare Plus TH PLLC Optometrist PastSince Oct 4, 2020 Accepting new patients
Drake Eye Care and Eyewear Optometrist PastSince Jan 24, 2022 Accepting new patients

Locations

252 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 907-2030

Interoperability endpoints

  • FHIR API: https://myeyecareplus.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 5

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1083687230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MARKS AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373886213",
            "telephone_number": "931-455-3262",
            "fax_number": "931-455-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N JACKSON ST",
            "address_2": "STE# 830",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888218",
            "telephone_number": "931-455-2020",
            "fax_number": "931-455-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "WILLIAM",
        "middle_name": "TRUMP",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.