Organization Active NPI

Michael a Fregger PA

  • Optometrist
  • Fort Walton Beach, FL
National Provider Identifier
1649366774
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1985 Issued in FL
Legal business name
MICHAEL A FREGGER PA
Doing business as
Family eye Care
Practice address
17 Racetrack Rd NW
Suite a
Fort Walton Beach, FL 32547-4616
Phone
(850) 862-9595
Fax
(850) 862-0099
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Michael Alan Fregger, O. D.
Title
President
Phone
(850) 862-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1985 FL Primary

Addresses

Primary practice location

17 Racetrack Rd NW
Suite a
Fort Walton Beach, FL 32547-4616

Mailing address

17 Racetrack Rd NW
Suite a
Fort Walton Beach, FL 32547-4616
Phone (850) 862-9595

Other names 1

  • Family eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

17 Racetrack Rd NW
Ste A
Ft Walton Bch, FL 32547
Phone (850) 862-9595

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1649366774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RACETRACK RD NW",
            "address_2": "SUITE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474616",
            "telephone_number": "850-862-9595",
            "fax_number": "850-892-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RACETRACK RD NW",
            "address_2": "SUITE A",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325474616",
            "telephone_number": "850-862-9595",
            "fax_number": "850-862-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A FREGGER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "FREGGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-862-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.