Individual provider Active NPI

Stuart Fracht, O.D.

  • Optometrist
  • Beaumont, TX
National Provider Identifier
1679565352
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2480TG Issued in TX
Practice address
2215 Calder St
Suite 101
Beaumont, TX 77701-1562
Phone
(409) 835-5957
Fax
(409) 835-5461
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2480TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 2480TG TX

Addresses

Primary practice location

2215 Calder St
Suite 101
Beaumont, TX 77701-1562

Mailing address

2215 Calder St
Ste 101
Beaumont, TX 77701-1562
Phone (409) 835-5957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2480TXMDBehavioral Analyst
2480TGTXMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1679565352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 CALDER ST",
            "address_2": "STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011562",
            "telephone_number": "409-835-5957",
            "fax_number": "409-835-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 CALDER ST",
            "address_2": "SUITE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011562",
            "telephone_number": "409-835-5957",
            "fax_number": "409-835-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACHT",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2480TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2480TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.