Individual provider Active NPI

Chris J Fry, O.D.

  • Optometrist
  • Bethany, OK
National Provider Identifier
1295711836
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1133 Issued in OK
Practice address
6303 NW 23Rd St
Bethany, OK 73008-5931
Phone
(405) 782-0300
Fax
(405) 782-0302
NPI assigned
Dec 15, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1133 OK Primary

Addresses

Primary practice location

6303 NW 23Rd St
Bethany, OK 73008-5931

Mailing address

6303 NW 23Rd St
Bethany, OK 73008-5931
Phone (405) 782-0300

Other identifiers 2

IdentifierTypeStateIssuer
200007160BMedicaidOK
249605401OtherOKAFFORDABLE PRICE VISION CTR., INC. MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060223000159 OK Practitioner - Optometry 7719937291 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1133OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Price Vision Ctr Inc Optometrist CurrentSince Aug 22, 2010 Accepting new patients
McRay Eyecare PLLC Optometrist PastSince Aug 22, 2010 Accepting new patients

Locations

2700 SW 29th St
Oklahoma City, OK 73119
Phone (405) 632-9749

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, 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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1295711836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-782-0300",
            "fax_number": "405-782-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-782-0300",
            "fax_number": "405-782-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "CHRIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007160B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFORDABLE PRICE VISION CTR., INC. MEDICARE",
            "identifier": "249605401",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.