Individual provider Active NPI

Edward Frantsvog, O.D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1609863067
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
791 Issued in AZ
Practice address
9115 E Baseline Rd
Mesa, AZ 85209-7763
Phone
(480) 373-8887
Fax
(480) 380-1560
NPI assigned
Sep 30, 2005
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 791 AZ Primary

Addresses

Primary practice location

9115 E Baseline Rd
Mesa, AZ 85209-7763

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20050210000616 AZ Practitioner - Optometry 1052363777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

610 E Baseline Rd
C3B NW Vision Ctr
Phoenix, AZ 85042-6536
Phone (602) 269-9771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Az Eyes PLC Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients

Locations (25 of 62)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

10735 E Apache Trl
Ste 107
Apache Junction, AZ 85120
Phone (480) 354-7976

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

115 E Williams Field Rd
Gilbert, AZ 85295

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

3505 N Stockton Hill Rd
Ste 180
Kingman, AZ 86409
Phone (928) 757-7670

85 Lake Havasu Ave N
Ste 108
Lake Havasu City, AZ 86403
Phone (928) 420-8810

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

Interoperability endpoints

  • Direct secure messaging: dr.edward.frantsvog@direct.eyecare-partners.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1609863067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-961-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097763",
            "telephone_number": "480-373-8887",
            "fax_number": "480-380-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANTSVOG",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.