Russell L Fry II, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21418 Issued in WV

Practice address

5187 US Route 60 E
Ste 6
Huntington, WV 25705-2076

Phone

(304) 691-8800

Fax

(304) 302-0221

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drfry@himgophthalmology.direct.eyemdemr.com
• Direct secure messaging: russell.fry@marshall.cernerdirect.com

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.

• Gregory Scott Moore OD PLLC

  • Optometrist
  • South Charleston, WV
  • NPI 1902231632
  NPD (past)
• University Physicians & Surgeons, Inc.

  • Optometrist
  • Huntington, WV
  • NPI 1003810557

  Ophthalmology

  NPD (past)
• Metrolina Eye Associates, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Indian Land, SC
  • NPI 1063896777
  NPD (past)
• Metrolina Eye Associates, PLLC

  • Ophthalmology Physician
  • Monroe, NC
  • NPI 1700839305
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1114981826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 US ROUTE 60 E",
            "address_2": "STE 6",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052076",
            "telephone_number": "304-691-8800",
            "fax_number": "304-302-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5187 US ROUTE 60 E",
            "address_2": "STE 6",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052076",
            "telephone_number": "304-691-8800",
            "fax_number": "304-302-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200501699",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "21418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902537",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russell.fry@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "5187 US Route 60 E",
            "address_2": "Ste 6",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257052076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fruth Pharmacy Inc
• Fruth Pharmacy Inc
• Brooke Fry
• Ella L Fry
• Melissa Fry
• Brenda Frye
• Cheri Frye
• Hadassah D Frye, MD
• Melody G. Frye, LPC
• Bryan Fugate

• Ophthalmology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.