Individual provider Active NPI

Amber Renee Fritsch, O.D.

  • Optometrist
  • Mount Juliet, TN
National Provider Identifier
1265690432
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2728 Issued in TN
Practice address
667 South Mt. Juliet Rd
Mt. Juliet, TN 37122-6319
Phone
(615) 758-2344
Fax
(615) 758-8868
NPI assigned
May 24, 2008
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2728 TN Primary

Addresses

Primary practice location

667 South Mt. Juliet Rd
Mt. Juliet, TN 37122-6319

Mailing address

667 South Mt. Juliet Rd
Mt. Juliet, TN 37122-6319
Phone (615) 758-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101021000841 TN Practitioner - Optometry 4688867799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Eye Care, PLLCGroup PAC ID 9133312242, 3 clinicians

Practice addresses (Care Compare)

667 S Mount Juliet Rd
Mount Juliet, TN 37122-6483
Phone (615) 758-2344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2728TNMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Care, PLLC CurrentSince Nov 12, 2009 Accepting new patients
Precision Eye Care, PLLC Optometrist CurrentSince Feb 13, 2010 Accepting new patients

Locations

667 S Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 758-2344

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1265690432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 SOUTH MT. JULIET RD",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "615-758-2344",
            "fax_number": "615-758-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 SOUTH MT. JULIET RD",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "615-758-2344",
            "fax_number": "615-758-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCH",
        "first_name": "AMBER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-24",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.