Individual provider Active NPI

Chelsea Faith Frey, O.D.

  • Optometrist
  • Adrian, MI
National Provider Identifier
1669812533
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004758 Issued in MI
Practice address
1400 W Maumee St
Adrian, MI 49221-1804
Phone
(517) 265-5444
Fax
(517) 264-5182
NPI assigned
Jun 25, 2013
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004758 MI Primary

Addresses

Primary practice location

1400 W Maumee St
Adrian, MI 49221-1804

Mailing address

1400 W Maumee St
Adrian, MI 49221-1804
Phone (517) 265-5444

Other names 1

  • Chelsea Faith Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20131226001391 MI Practitioner - Optometry 9032346804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Lenawee P.C.Group PAC ID 6800812868, 2 clinicians

Practice addresses (Care Compare)

1400 W Maumee St
Adrian, MI 49221-1804
Phone (517) 265-5444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Ravin, Birndorf & Ravin, Inc. Optometrist PastSince Sep 24, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cfrey626999@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1669812533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211804",
            "telephone_number": "517-265-5444",
            "fax_number": "517-264-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211804",
            "telephone_number": "517-265-5444",
            "fax_number": "517-264-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "CHELSEA",
        "middle_name": "FAITH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "RICHARDS",
            "middle_name": "FAITH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.