Richard E. Fry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1189 Issued in NC

Practice address

110 S Thomas St
Beulaville, NC 28518-8810

Phone

(910) 298-3001

Fax

(910) 298-8149

NPI assigned

Jan 4, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richard E. Fry, OD, PA

  • Optometrist
  • Beulaville, NC
  • NPI 1336412790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1720135882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S THOMAS ST",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285188810",
            "telephone_number": "910-298-3001",
            "fax_number": "910-298-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S THOMAS ST",
            "city": "BEULAVILLE",
            "state": "NC",
            "postal_code": "285188810",
            "telephone_number": "910-298-3001",
            "fax_number": "910-298-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA",
            "identifier": "09296",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909296",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Katherine Eldridge
• Kendall Sorrell English
• Dajour Farland
• Teresa Fisher
• Susan Flowers Frederick, FNP
• Carol Gerstemeier, LCMHC
• Rick E Gilliland, DMD
• Monica P Gomez
• Goshen Medical Center Incorporated
• Goshen Medical Center Incorporated

• Optometrist in Beulaville, NC
• Providers in Beulaville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.