Active NPI
Gerald Fragin, O.D.
- Optometrist
- Scranton, PA
National Provider Identifier
1609971217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- PA4442P
- Practice address
- 341 Jefferson Ave
Scranton, PA 18510-2439 - Phone
- (570) 347-5400
- Fax
- (570) 342-0221
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | PA4442P | PA | Primary |
Addresses
Primary practice location
341 Jefferson Ave
Scranton, PA 18510-2439
Mailing address
341 Jefferson Ave
Scranton, PA 18510-2439
Phone (570) 347-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA4442P | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doloff & Fragin | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609971217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 JEFFERSON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102439",
"telephone_number": "570-347-5400",
"fax_number": "570-342-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 JEFFERSON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102439",
"telephone_number": "570-347-5400",
"fax_number": "570-342-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGIN",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "PA4442P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.