Organization Active NPI

Richard D Frazier Jr OD

  • Optometrist
  • Flint, MI
National Provider Identifier
1265619084
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RICHARD D FRAZIER JR OD
Practice address
5096 Corunna Rd
Flint, MI 48532-4190
Phone
(810) 733-6460
Fax
(810) 733-5443
NPI assigned
Jan 23, 2008
Reactivated
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Richard Dickerson Frazier Jr., OD
Title
Optometrist
Phone
(810) 733-6460

Specialties & licenses 1

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

Addresses

Primary practice location

5096 Corunna Rd
Flint, MI 48532-4190

Mailing address

5096 Corunna Rd
Flint, MI 48532-4190
Phone (810) 733-6460

Other names 1

  • Frazier Vision Center Other name

National Provider Directory

National Provider Directory

Locations

5096 Corunna Rd
Flint, MI 48532
Phone (310) 733-6460

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1265619084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5096 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324190",
            "telephone_number": "810-733-6460",
            "fax_number": "810-733-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5096 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324190",
            "telephone_number": "810-733-6460",
            "fax_number": "810-733-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D FRAZIER JR OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2013-03-27",
        "deactivation_date": "2009-12-22",
        "reactivation_date": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DICKERSON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-733-6460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frazier Vision Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.