Active NPI
Ellen Frichtel, OD
- Optometrist
- Kansas City, MO
National Provider Identifier
1649084302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2026029468
- Practice address
- 4801 E Linwood Blvd
Kansas City, MO 64128-2226 - Phone
- (816) 861-4700
- Fax
- (816) 922-4872
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 2026029468 | MO | Primary |
Addresses
Primary practice location
4801 E Linwood Blvd
Kansas City, MO 64128-2226
Mailing address
805 Gandolf Way
Eureka, MO 63025-1063
Phone (314) 695-0625
Other practice location 1
5811 NW Barry Rd
Kansas City, MO 64154-1494
Phone (913) 261-2020 ext. 12020
Other practice location 2
11261 Nall Ave
Leawood, KS 66211-1669
Phone (913) 261-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15933 Clayton Rd
Suite 210
Ballwin, MO 63011-2154
805 Gandolf Way
Eureka, MO 63025-1063
PO Box
Dallas, TX 75320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1649084302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 GANDOLF WAY",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251063",
"telephone_number": "314-695-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E LINWOOD BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641282226",
"telephone_number": "816-861-4700",
"fax_number": "816-922-4872"
}
],
"practiceLocations": [
{
"address_1": "5811 NW Barry Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641541494",
"country_code": "US",
"telephone_number": "913-261-2020 x12020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11261 Nall Ave",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662111669",
"country_code": "US",
"telephone_number": "913-261-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRICHTEL",
"first_name": "ELLEN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2026029468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.