Organization Active NPI

Brendhan M. Fritts OD PC

  • Optometrist
  • Duncan, OK
National Provider Identifier
1184863334
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2695 Issued in OK
Legal business name
BRENDHAN M. FRITTS OD PC
Practice address
14 S 8TH St
Duncan, OK 73533-4906
Phone
(580) 255-1346
Fax
(580) 255-1360
NPI assigned
Feb 11, 2009
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Brendhan M Fritts, O.D.NPI 1982753281
Title
Optometrist
Phone
(580) 255-1346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2695 OK Primary
Clinic/Center 261Q00000X 6860T TX

Addresses

Primary practice location

14 S 8TH St
Duncan, OK 73533-4906

Mailing address

14 S 8TH St
Duncan, OK 73533-4906
Phone (580) 255-1346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120207000065 OK DME Supplier - Physician - Optometrist 4082762638 Practice locations: Duncan, OK
O20120213000136 OK Part B Supplier - Clinic/Group Practice 4082762638 Receives reassigned benefits from 1 practitioner
Practice locations: Duncan, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brendhan M. Fritts OD PC14 S 8TH St, Duncan, OK 73533-4906(580) 255-1346 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 1, 2009

National Provider Directory

National Provider Directory

Locations

2401 S Stemmons Fwy
Ste 2210
Lewisville, TX 75067
Phone (954) 993-6543

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1184863334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S 8TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334906",
            "telephone_number": "580-255-1346",
            "fax_number": "580-255-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S 8TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334906",
            "telephone_number": "580-255-1346",
            "fax_number": "580-255-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDHAN M. FRITTS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "BRENDHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "580-255-1346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2695",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "6860T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.

Verify at the official NPI Registry.