Active NPI
Carey R Fracht, O.D.
- Optometrist
- Jasper, TX
National Provider Identifier
1114066081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2833T
- Practice address
- 130 N Austin St
Jasper, TX 75951-4102 - Phone
- (409) 384-5192
- NPI assigned
- Feb 6, 2007
- Last updated
- Mar 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2833T | TX | Primary |
Addresses
Primary practice location
130 N Austin St
Jasper, TX 75951-4102
Mailing address
130 N Austin St
Jasper, TX 75951-4102
Phone (409) 384-5192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0199080001 | Other | TX | BLUE CROSS BLUE SHIELD |
| T13314 | Other | TX | NOT CERTAIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111227000022 | TX | Practitioner - Optometry | 4284800178 | Practice locations: Jasper, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
130 N Austin St
Jasper, TX 75951-4102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2833 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 2833T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1114066081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 N AUSTIN ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759514102",
"telephone_number": "409-384-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 N AUSTIN ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759514102",
"telephone_number": "409-384-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRACHT",
"first_name": "CAREY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2833T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0199080001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT CERTAIN",
"identifier": "T13314",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, TX
- Eye Center of Jasper, PLLC
- Fems Transportation, Inc. (Freedom One EMS)
- William Charles Fincannon, D.D.S.
- Michael Todd Fleck, D.C.
- Kala Foltyn
- Fresenius Kidney Care Jasper, LLC (Fresenius Kidney Care Jasper)
- Patricia A Galos, O.D.
- Meryl Alice Gardner, FNP-C
- Gee Shipman Pharmacy
- Ashley Jo Gerdes, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.