Individual provider Active NPI

Kelly J Frasier, M.D.

  • Ophthalmology Physician
  • Arlington, TX
National Provider Identifier
1609894773
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M2952 Issued in TX
Practice address
350 E Interstate 20
Arlington, TX 76018-1119
Phone
(817) 784-0222
Fax
(817) 467-5819
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M2952 TX Primary

Addresses

Primary practice location

350 E Interstate 20
Arlington, TX 76018-1119

Mailing address

350 E Interstate 20
Arlington, TX 76018-1119
Phone (817) 784-0222

Other practice location 1

3645 Dallas Pkwy Ste 545
Plano, TX 75093-8167
Phone (817) 784-0222

Other practice location 2

1825 E Southlake Blvd
Southlake, TX 76092-6501
Phone (817) 784-0222

Other identifiers 1

IdentifierTypeStateIssuer
161608201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061023000249 TX Practitioner - Ophthalmology 5092712737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Ophthalmology Association PLLCGroup PAC ID 2668379876, 22 clinicians

Practice addresses (Care Compare)

350 E Interstate 20
Arlington, TX 76018-1119
Phone (817) 784-0222

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Ophthalmology Association PLLC Ophthalmology CurrentSince Dec 1, 2014 Accepting new patients
Lubbock Ophthalmology Associate, P.a. Ophthalmology PastSince Nov 1, 2004 Accepting new patients
Staten Island Physician Practice PC Ophthalmology Past Accepting new patients

Locations

3900 E Mexico Ave
Ste 102
Denver, CO 80210
Phone (303) 800-2078

350 E Interstate 20
Arlington, TX 76018

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

2301 S Hampton Rd
Ste 500
Dallas, TX 75224
Phone (214) 330-3937

505 N Gun Barrel Ln
Gun Barrel City, TX 75156
Phone (903) 887-7623

2009 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6655

2007 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6655

3645 Dallas Pkwy
Ste 545
Plano, TX 75093
Phone (214) 440-5200

1825 E Southlake Blvd
Southlake, TX 76092
Phone (214) 277-3404

Interoperability endpoints

  • Direct secure messaging: kelly.frasier.p1@direct.keec.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1609894773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Dallas Pkwy Ste 545",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938167",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 E Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926501",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASIER",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M2952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161608201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.