Individual provider Active NPI

Taylor Amanda Fronczak, OD

  • Optometrist
  • Erie, PA
National Provider Identifier
1649957754
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004035 Issued in PA
Practice address
135 E 38TH St
Erie, PA 16504-1559
Phone
(814) 868-8661
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004035 PA Primary

Addresses

Primary practice location

135 E 38TH St
Erie, PA 16504-1559

Mailing address

47 Quail Run LN
Lancaster, NY 14086-1446
Phone (716) 697-4559

Other practice location 1

1930 Douglas Pkwy Ste 54
Erie, PA 16509-7305
Phone (814) 844-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250304001592 NY Practitioner - OptometryPractitioner - Ophthalmology 2567983836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Ophthalmology, PLLCGroup PAC ID 3173821659, 6 clinicians

Practice addresses (Care Compare)

405 International Dr
Williamsville, NY 14221-5725
Phone (716) 633-7386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004035PAMDOptometrist
011099NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Ophthalmology PLLC CurrentSince Dec 16, 2024 Accepting new patients
National Vision Inc Past Accepting new patients

Locations

301 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-6500

405 International Dr
Williamsville, NY 14221
Phone (716) 633-7386

Interoperability endpoints

  • Direct secure messaging: taylorf@buffaloophthalmology.medentdirect.com

Organizations & group practices 2

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1649957754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 QUAIL RUN LN",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861446",
            "telephone_number": "716-697-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041559",
            "telephone_number": "814-868-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Douglas Pkwy Ste 54",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165097305",
            "country_code": "US",
            "telephone_number": "814-844-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRONCZAK",
        "first_name": "TAYLOR",
        "middle_name": "AMANDA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.