Brendhan M. Fritts OD PC
Organization Active NPI Optometrist · Duncan, OK
NPI 1184863334 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1184863334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2695 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Brendhan M Fritts, O.D.
- Title
- Optometrist
- Phone
- (580) 255-1346
Practitioners 3
-
Brendhan M Fritts, O.D.
-
Mital Patel, OD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Brendhan M. Fritts OD PC |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2695 | OK | Yes |
| 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
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.