Individual provider Active NPI

Bruce G. Frimtzis, O.D.

  • Optometrist
  • Escondido, CA
National Provider Identifier
1710087366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8466T Issued in CA
Practice address
1320 E Valley Pkwy Ste D
Escondido, CA 92027-2317
Phone
(760) 432-6331
Fax
(760) 432-6319
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8466T CA Primary

Addresses

Primary practice location

1320 E Valley Pkwy Ste D
Escondido, CA 92027-2317

Mailing address

1320 E Valley Pkwy Ste D
Escondido, CA 92027-2317
Phone (760) 432-6331

Other identifiers 1

IdentifierTypeStateIssuer
SD0084660MedicaidCA

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
OPT8466TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Geoffrey Frimtzis Optometrist Past Accepting new patients

Organizations & group practices 1

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710087366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E VALLEY PKWY STE D",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272317",
            "telephone_number": "760-432-6331",
            "fax_number": "760-432-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E VALLEY PKWY STE D",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272317",
            "telephone_number": "760-432-6331",
            "fax_number": "760-432-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIMTZIS",
        "first_name": "BRUCE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8466T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0084660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.