Frey Vision Group of Indiana Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002970A Issued in IN

Legal business name

FREY VISION GROUP OF INDIANA INC

Practice address

3409 N Anthony Blvd
Fort Wayne, IN 46805-2233

Phone

(260) 484-2691

Fax

(260) 484-0616

NPI assigned

Aug 30, 2013

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie M Truex

Title

Insurance Specialist

Phone

(260) 484-2691

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayson Paul Ferd Burden, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1063233179
  Medicare reassignment Care Compare group NPD
• Lauren Dobson, OD

  • Optometrist
  • Wabash, IN
  • NPI 1811514359
  Medicare reassignment Care Compare group NPD
• Aaron Christopher Frey, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1134266935
  Medicare reassignment Care Compare group NPD
• Zachary Edward Laskovich, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1215554092
  Medicare reassignment Care Compare group NPD
• Alexander Lineback, OD

  • Optometrist
  • Carmel, IN
  • NPI 1750782983
  Medicare reassignment Care Compare group NPD
• Lisa Pham, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1144881491
  Medicare reassignment Care Compare group NPD
• Heather Elizabeth Sterrett, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1316517493
  Medicare reassignment Care Compare group NPD
• Jonathan Szczerba, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1720714470
  Medicare reassignment Care Compare group NPD
• Danielle Faye Warren Teel, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1770605073
  Medicare reassignment Care Compare group NPD
• Ashton V Akridge, OD

  • Optometrist
  • Greenwood, IN
  • NPI 1306368048
  Medicare reassignment NPD
• Christina Tan Michelle Kennedy, O.D.

  • Optometrist
  • Fort Wayne, IN
  • NPI 1154480911
  Medicare reassignment NPD
• Gentry Jarrett Kerwood, OD

  • Optometrist
  • Lafayette, IN
  • NPI 1598382376
  Medicare reassignment NPD

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1699109256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052233",
            "telephone_number": "260-484-2691",
            "fax_number": "260-484-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052233",
            "telephone_number": "260-484-2691",
            "fax_number": "260-484-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREY VISION GROUP OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2022-07-26",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "TRUEX",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "260-484-2691",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002970A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003662",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E French, O.D.
• Karen Lee Frerking, OTR/L
• Fresh Start Recovery Group LLC
• Jill Freshour, LCSW
• Marissa K Freson, MSED, LMFTA
• Aaron Christopher Frey, O.D.
• Emery Frey, PHARMD
• Rebecca K Frey, RRT
• Jody B Freyre, M.D.
• Alicia Renee Frick

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.