Michelle L. Frye, O.D. LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

18003461B Issued in IN

Legal business name

MICHELLE L. FRYE, O.D. LLC

Practice address

902 W Wayne St
Fort Wayne, IN 46802-3976

Phone

(260) 422-9421

NPI assigned

Jan 28, 2016

Last updated

Sep 1, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MICHELLE L. FRYE, O.D. LLCAs reported in NPPES

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

Authorized official

Name

Dr. Michelle Frye, O.D.NPI 1063610517

Title

Owner

Phone

(604) 229-4221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Michelle L Frye OD LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle L Frye, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1063610517
  Medicare reassignment NPD Authorized official
• William F. Brigham, OD

  • Vision Therapy Optometrist
  • Fort Wayne, IN
  • NPI 1750364006
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1437517968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 COUNTY ROAD 56",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069507",
            "telephone_number": "260-925-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W WAYNE ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023976",
            "telephone_number": "260-422-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L. FRYE, O.D. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHELLE L. FRYE, O.D. LLC",
        "enumeration_date": "2016-01-28",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "604-229-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "18003461B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel G Michael, DPT
• Taylor Marie Michael, NP
• Laura C. Michaels
• Rayana Michalak
• Haley Madison Michaud, PHARMD
• Middleton Family Dentistry LLC (Charles H Middleton DDS)
• Allison Middleton, O.D.
• Charles H Middleton, DDS
• Charles Mathew Middleton, DDS
• Cierra Middleton

• Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.