Active NPI
Teresa Marie Fraundorfer, OD
- Optometrist
- Altoona, PA
National Provider Identifier
1447317524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG 001344
- Practice address
- 912 E Atlantic Ave
Altoona, PA 16602-6902 - Phone
- (814) 943-0981
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG 001344 | PA | Primary |
Addresses
Primary practice location
912 E Atlantic Ave
Altoona, PA 16602-6902
Mailing address
912 E Atlantic Ave
Altoona, PA 16602-6902
Phone (814) 943-0981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101176638 0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG 001344 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1447317524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 E ATLANTIC AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026902",
"telephone_number": "814-943-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 E ATLANTIC AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166026902",
"telephone_number": "814-943-0981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAUNDORFER",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG 001344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101176638 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.