Alvin Lewis Frey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001189 Issued in GA

Practice address

4495 Atlanta Hwy
Suite 300
Loganville, GA 30052-6736

Phone

(770) 554-3456

Fax

(770) 554-3458

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alvin.frey.1@14077.direct.athenahealth.com

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.

• Brian Dempsey OD LLC

  • Optometrist
  • Loganville, GA
  • NPI 1487265898
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1720048838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 ATLANTA HWY",
            "address_2": "SUITE 300",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526736",
            "telephone_number": "770-554-3456",
            "fax_number": "770-554-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 ATLANTA HWY",
            "address_2": "SUITE 300",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526736",
            "telephone_number": "770-554-3456",
            "fax_number": "770-554-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "ALVIN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000716185B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleijah Imani Foxworth-Mandhu, MD
• Catherine Franke, OTR/L
• Julie Masters Franklin, PTA
• Fresenius Medical Care Loganville, LLC
• Adam Frey
• Stacy W Froelich, LCSW
• Angel Mawuena Fugar, CPNP-PC
• Omar Kevin Fuller
• Antoinette Gabriel
• Dana Marie Gallegos, PT

• Optometrist in Loganville, GA
• Providers in Loganville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.