Tessa Fredal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005642 Issued in MI

Practice address

136 Cass Ave
Mount Clemens, MI 48043-2230

Phone

(586) 468-4211

NPI assigned

Jul 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ann Lacroix Fredal OD PLLCGroup PAC ID 4981715281, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Ann Lacroix Fredal O.D. PLLC

  • Durable Medical Equipment & Medical Supplies
  • Mount Clemens, MI
  • NPI 1770885030
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1487388294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42327 LITTLE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CASS AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432230",
            "telephone_number": "586-468-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDAL",
        "first_name": "TESSA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drtess@lacroixeyecare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "136 Cass Ave",
            "city": "Mount Clemens",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480432230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam Christopher Foster, D.O.
• Frank T Rastigue D.D.S.,P.C.
• Stephen Franklin, M.D.
• Arthur J Frazier, MD
• Ann Lacroix Fredal, O.D. PLLC
• Sandra K Fringer
• Joseph Gabrail, DO
• Diane R Gai, LMSW
• Jennifer Gale
• Janice Loan Gallagher, MS, AT-C, AT-L, CSCS

• Optometrist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.