Individual provider Active NPI

Thomas J. Frye, ).D.

  • Optometrist
  • Madison, TN
National Provider Identifier
1801011382
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1140 Issued in TN
Practice address
2240 Gallatin Pike N
Madison, TN 37115-2006
Phone
(615) 859-6778
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 1140 TN Primary

Addresses

Primary practice location

2240 Gallatin Pike N
Madison, TN 37115-2006

Mailing address

123 Paradise Dr
Hendersonville, TN 37075-4238
Phone (615) 859-6778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20130820000292 TN Practitioner - Optometry 4385886423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson I-Care, LLCGroup PAC ID 1456648278, 2 clinicians

Practice addresses (Care Compare)

1024 Glenbrook Way
Hendersonville, TN 37075-1230
Phone (615) 822-8464

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN1140TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson I-Care, LLC Optometrist CurrentSince Sep 8, 2016 Accepting new patients
Calvert Opthalmology PSC Past Accepting new patients

Locations

1024 Glenbrook Way
Hendersonville, TN 37075
Phone (615) 822-8464

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801011382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PARADISE DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754238",
            "telephone_number": "615-859-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152006",
            "telephone_number": "615-859-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": ").D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.