Shane William Frerichs, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 0002957 Issued in CO

Practice address

2438 Research Pkwy Ste 200
Colorado Springs, CO 80920-1094

Phone

(719) 599-5083

NPI assigned

Oct 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chapel Hills Vision P CGroup PAC ID 0042101081, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1639164973
  Medicare reassignment Care Compare group
• Chapel Hills Vision P C

  • Optometrist
  • Colorado Springs, CO
  • NPI 1336134683
  NPD (past)

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1497031124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-599-5083",
            "fax_number": "195-993-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-599-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRERICHS",
        "first_name": "SHANE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1660",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 0002957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey French, PH.D
• Jenai Leann Freng
• Savanna Freng
• Courtney Furcini Frerichs, PA-C
• John Lindley Frerichs, M.D.
• Fresenius Medical Care Colorado Springs, LLC
• Fresh Water Counseling, LLC
• Kailyn Frew, LSW
• Andrea Louise Frey Metzger
• Joseph Lewis Frey

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.