Wes L Frisbey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003062 Issued in MI

Practice address

E6112 E Bluffview Rd
Suite 102
Ironwood, MI 49938-9622

Phone

(906) 932-1436

Fax

(906) 932-0644

NPI assigned

Aug 16, 2005

Last updated

Dec 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1497747687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E6112 E BLUFFVIEW RD",
            "address_2": "SUITE 102",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-1436",
            "fax_number": "906-932-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E6112 E BLUFFVIEW RD",
            "address_2": "SUITE 102",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-1436",
            "fax_number": "906-932-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISBEY",
        "first_name": "WES",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4918147",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38630300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900B710210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri L Ewing, D.O.
• Sarah Fadhil, PHARMD
• Jannel Castillo Fink, PT
• Jamie Leah Fiorucci, LMSW
• Kathryn Ann Fredianelli, PTA
• Sarah Gille, CST/CSFA
• Great Lakes Recovery Centers
• Great Northern Rehab P C
• Stanley Weir Gresham, DDS
• Jane Gruenke, R.PH.

• Optometrist in Ironwood, MI
• Providers in Ironwood, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.