Individual provider Active NPI

Timothy A Frye, O.D.

  • Optometrist
  • Circleville, OH
National Provider Identifier
1659390367
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4930 Issued in OH
Practice address
1289 Stratford CT
Circleville, OH 43113-1392
Phone
(740) 412-3661
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4930 OH Primary

Addresses

Primary practice location

1289 Stratford CT
Circleville, OH 43113-1392

Mailing address

1289 Stratford CT
Circleville, OH 43113-1392
Phone (740) 412-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060816000153 OH Practitioner - Optometry 2264435007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

1251 N Bridge St
Suite N
Chillicothe, OH 45601-1801
Phone (740) 212-3810

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4930OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. CurrentSince Feb 26, 2014 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients
Mobile Medical Inc Optometrist Current Accepting new patients
Mobile Medical, Inc. CurrentSince Feb 26, 2014 Accepting new patients
Southern Ohio Ophthalmic Anesthesia, LLC Past Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Southern Ohio Eye Surgical Associates LLC Optometrist PastSince Jan 1, 2020 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Allison a Henderson OD and William E Henderson II Optometrist Past Accepting new patients

Locations

1251 N Bridge St
Chillicothe, OH 45601
Phone (740) 212-3810

1251 N Bridge St
Ste N
Chillicothe, OH 45601
Phone (740) 212-3810

3948 Morse Xing
Columbus, OH 43219
Phone (614) 475-5240

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

316 S Hamilton Rd
Gahanna, OH 43230

1584 Stringtown Rd
Grove City, OH 43123
Phone (614) 871-4016

7855 W Ridgewood Dr
Parma, OH 44129

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

8121 E Broad St
Reynoldsburg, OH 43068
Phone (614) 655-8448

Interoperability endpoints

  • Direct secure messaging: timothy.frye.p19@direct.360care.nextgenshare.com

Organizations & group practices 9

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1659390367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 STRATFORD CT",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131392",
            "telephone_number": "740-412-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 STRATFORD CT",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131392",
            "telephone_number": "740-412-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.