Active NPI
Fry Eye Associates PA
- Ophthalmology Physician
- Garden City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- FRY EYE ASSOCIATES PA
- Practice address
- 502 College Street
Garden City, KS 67846-6183 - Phone
- (620) 275-7248
- Fax
- (620) 275-5262
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Teeter
- Title
- Practice Administrator
- Phone
- (620) 275-7248
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
502 College Street
Garden City, KS 67846-6183
Mailing address
502 College Street
Garden City, KS 67846-6183
Phone (620) 275-7248
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100722450A | Medicaid | OK | |
| 94001922 | Medicaid | CO | |
| 100215250A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, CO
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D1038365 | Fry Eye Associates, PA | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Garden City, KS
- NPI 1528080876
Member Of
Locations
1607 S Main St
Lamar, CO 81052
Phone (620) 275-7248
1005 S Range Ave
Colby, KS 67701
310 E Walnut St
Ste 101
Garden City, KS 67846
Phone (620) 275-7248
11 W Parkway Blvd
Liberal, KS 67901
Phone (620) 624-0142
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Garden City, KS
- NPI 1538373485
-
- Optometrist
- Great Bend, KS
- NPI 1003346032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657238400000",
"number": "1124049499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 COLLEGE STREET",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678466183",
"telephone_number": "620-275-7248",
"fax_number": "620-275-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 COLLEGE STREET",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678466183",
"telephone_number": "620-275-7248",
"fax_number": "620-275-5262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRY EYE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A",
"authorized_official_last_name": "TEETER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "620-275-7248"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100722450A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94001922",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100215250A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.