Individual provider Active NPI

Chad Frazier, OD

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1265218481
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2751 Issued in NC
Practice address
1507 Westover Ter Ste C
Greensboro, NC 27408-7121
Phone
(336) 274-7771
NPI assigned
Sep 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2751 NC Primary

Addresses

Primary practice location

1507 Westover Ter Ste C
Greensboro, NC 27408-7121

Mailing address

3621 N Elm St Apt 2J
Greensboro, NC 27455-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231031003481 NC Practitioner - Optometry 8820444557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hecker Ophthalmology PAGroup PAC ID 2365553526, 3 clinicians

Practice addresses (Care Compare)

1507 Westover Ter
Suite C
Greensboro, NC 27408-7121
Phone (336) 274-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2751NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hecker Ophthalmology PA Optometrist CurrentSince Sep 23, 2023 Accepting new patients

Locations

1507 Westover Ter
Greensboro, NC 27408
Phone (336) 273-3661

1507 Westover Ter
Ste C
Greensboro, NC 27408
Phone (336) 274-7771

Interoperability endpoints

  • Direct secure messaging: cfrazier@heckereye.intellechartdirect.net

Organizations & group practices 1

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": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1265218481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 N ELM ST APT 2J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WESTOVER TER STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087121",
            "telephone_number": "336-274-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.