Active NPI
Gregory M Frey, O.D.
- Optometrist
- Desoto, TX
National Provider Identifier
1164440335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5638TG
- Practice address
- 600 N Hampton Rd
Desoto, TX 75115-4508 - Phone
- (972) 223-5354
- NPI assigned
- Jul 17, 2006
- Last updated
- Jan 26, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 5638TG | TX | Primary |
Addresses
Primary practice location
600 N Hampton Rd
Desoto, TX 75115-4508
Mailing address
404 Bellflower CT
Mansfield, TX 76063-6803
Phone (214) 668-1836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159443402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5638TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Visioncare of Mansfield PA | Optometrist | Past | Accepting new patients |
| Advanced Visioncare | Past | Accepting new patients | |
| 20/20 Icare and Iwear, PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Grand Prairie, TX
- NPI 1932629987
-
- Exclusive Provider Organization
- Desoto, TX
- NPI 1851623615
-
- Optometrist
- Fort Worth, TX
- NPI 1447625975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1164440335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 BELLFLOWER CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636803",
"telephone_number": "214-668-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HAMPTON RD",
"city": "DESOTO",
"state": "TX",
"postal_code": "751154508",
"telephone_number": "972-223-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "GREGORY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5638TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159443402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
- Bryson Fowler
- Tara Alicia Franklin
- Selena M Frazier, ARNP, FNP-C
- Freeman's Assisted Living LLC
- Fresh Start Counseling and Treatment Center (Gladys Lowry)
- Friends Place Southwest LLC (Friends Place Adult Day Services)
- Funspired Pediatric Therapy Services, PLLC
- Richard Fuquay, MD
- G & M Automotive Transport Inc
- G. Mark Jenkins, MD PA (Cardiac & Vascular Interventional Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.