Individual provider Active NPI

Cydney Caye Froehlich, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1235705849
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002518 Issued in AZ
Practice address
21001 N Tatum Blvd Ste 20
Phoenix, AZ 85050-4207
Phone
(480) 419-9750
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3726 MN
Optometrist 152W00000X OPT-002518 AZ Primary

Addresses

Primary practice location

21001 N Tatum Blvd Ste 20
Phoenix, AZ 85050-4207

Mailing address

4750 E Union Hills Dr Apt 3037
Phoenix, AZ 85050-3371
Phone (952) 356-6861

Other practice location 1

7420 E Pinnacle Peak Rd
Scottsdale, AZ 85255-3625
Phone (480) 473-0079

Electronic endpoints 5

TypeEndpointUseAffiliation
Other URL RevolutionEHR Oker Optometry LLC
Other URL revolutionEHR ELTON EYECARE INC
Other URL RevolutionEHR Target Optical
Other URL Fax/Phone Pinnacle Peak Eye Care and Optical PC
Other URL revolutionEHR Dr Michele A Coffman PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206001386 AZ Practitioner - Optometry 3678963626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Peak Eye Care and Optical PCGroup PAC ID 0042217937, 2 clinicians

Practice addresses (Care Compare)

7420 E Pinnacle Peak Rd
Suite 122
Scottsdale, AZ 85255-3625
Phone (480) 473-0079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002518AZMDOptometrist
3726MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Peak Eye Care and Optical PC Optometrist CurrentSince Nov 2, 2021 Accepting new patients
Luxottica of America Inc. PastSince Jun 1, 2021 Accepting new patients
Luxottica of America Inc PastSince Jun 1, 2021 Accepting new patients

Locations

7420 E Pinnacle Peak Rd
Ste 122
Scottsdale, AZ 85255
Phone (480) 473-0079

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1235705849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E UNION HILLS DR APT 3037",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503371",
            "telephone_number": "952-356-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD STE 20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504207",
            "telephone_number": "480-419-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7420 E Pinnacle Peak Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852553625",
            "country_code": "US",
            "telephone_number": "480-473-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROEHLICH",
        "first_name": "CYDNEY",
        "middle_name": "CAYE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3726",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RevolutionEHR",
            "affiliation": "Y",
            "affiliationName": "Oker Optometry LLC",
            "address_1": "8251 Flying Cloud Dr Ste 125",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553445305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "revolutionEHR",
            "affiliation": "Y",
            "affiliationName": "ELTON EYECARE INC",
            "address_1": "8900 Highway 7",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554263919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RevolutionEHR",
            "affiliation": "Y",
            "affiliationName": "Target Optical",
            "address_1": "8900 Highway 7",
            "city": "St Louis Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554263919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax/Phone",
            "affiliation": "Y",
            "affiliationName": "Pinnacle Peak Eye Care and Optical PC",
            "address_1": "7420 E Pinnacle Peak Rd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852553625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "revolutionEHR",
            "affiliation": "Y",
            "affiliationName": "Dr Michele A Coffman PC",
            "address_1": "21001 N Tatum Blvd Ste 20",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850504207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.