Individual provider Active NPI

Richard A Frio, OD

  • Optometrist
  • Central Square, NY
National Provider Identifier
1356326649
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003352-1 Issued in NY
Practice address
3248 Fulton Ave
Central Square, NY 13036
Phone
(315) 668-7999
Fax
(315) 668-3530
NPI assigned
Dec 9, 2005
Last updated
Mar 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003352-1 NY
Optometrist 152W00000X TUV003352-1 NY Primary

Addresses

Primary practice location

3248 Fulton Ave
Central Square, NY 13036

Mailing address

3248 Fulton Ave
PO Box 579
Central Square, NY 13036
Phone (315) 668-7999

Other identifiers 1

IdentifierTypeStateIssuer
00562487MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080509000485 NY Practitioner - Optometry 0042399404 Reassigns benefits to 1 organization
Practice locations: Chittenango, NY; Central Square, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV003352-1NYMDOptometrist
003352-1NYMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Medical and Surgical Eye Care PC PastSince Jan 16, 2011 Accepting new patients
Bridget a Frio OD Optometrist PastSince Jan 16, 2011 Accepting new patients

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1356326649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 FULTON AVE",
            "address_2": "PO BOX 579",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "13036",
            "telephone_number": "315-668-7999",
            "fax_number": "315-668-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 FULTON AVE",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "13036",
            "telephone_number": "315-668-7999",
            "fax_number": "315-668-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIO",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003352-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003352-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00562487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Square, NY

Sources for this page

Verify at the official NPI Registry.