Melissa Frederick

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

1422 Euclid Ave Ste 802
Cleveland, OH 44115-2001

Phone

(401) 584-3939

NPI assigned

Jan 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Frederick Customeyez in St. Louis

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1912603507
  NPD (past) Authorized official
• Frederick Customeyez Prosthetics LLC

  • Ocularist
  • Saint Louis, MO
  • NPI 1841926599
  NPD (past) Authorized official

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1679047609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9278 PARADISE DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324139625",
            "telephone_number": "401-584-3939",
            "fax_number": "216-678-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 EUCLID AVE STE 802",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152001",
            "telephone_number": "401-584-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1834 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631464712",
            "country_code": "US",
            "telephone_number": "401-584-3939",
            "fax_number": "216-678-9186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "OH",
            "license": "OC.000024",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Frazier
• Samantha Freck, MSN, APRN, NP-C
• Fred S Hirsh MD Inc
• Frederick Customeyez Prosthetics LLC
• Marguerite Sherwin Frederick, LISW
• Valerie Rene Fredericks
• Rachel Fredericksen
• Alice Erica Fredrickson, M.D.
• Rebecca Jasmine Free, M.D.
• Carrie Ann Freed, PHARMD

• Optician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.