Renita Charlene Frost, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

521 Issued in AZ

Practice address

7840 E St Route Hwy 69
Suite a-5a
Prescott Valley, AZ 86314-2274

Phone

(928) 775-9393

NPI assigned

Nov 2, 2006

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wybrow Eyecare PC

  • Optometrist
  • Kingman, AZ
  • NPI 1649488909
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1558449983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N ZUNI TRL",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863275638",
            "telephone_number": "928-533-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 E ST ROUTE HWY 69",
            "address_2": "SUITE A-5A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142274",
            "telephone_number": "928-775-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "RENITA",
        "middle_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z70680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Freymuth, PHARM D
• Lindy Michelle Friedrich
• Kathryn R From, PHARMD
• Frost Family Chiropractic, PC
• Jason Thomas Frost, DC
• Susan Lynne Frost, DNP, MC, FPMHNP-BC
• Maia Fruchthandler
• Gary Fulkerson, P.A.
• Marissa May Fuller
• Melanie Nicole Fuller

• Optometrist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.