Julie Annette Frederick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4928 Issued in OH

Practice address

283 Stadium Dr
Defiance, OH 43512-4604

Phone

(419) 782-3937

NPI assigned

Jan 18, 2007

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 OH

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

Ohio State University - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brunswick Eye and Contact LensGroup PAC ID 2264587658, 4 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brunswick Eye and Contact Lens

  • Optometrist
  • Defiance, OH
  • NPI 1225282213
  Medicare reassignment Care Compare group NPD
• Luxottica Retail North America Inc

  dba Sears Optical #C1081

  • Eyewear Supplier
  • Defiance, OH
  • NPI 1588760219
  NPD (past)
• Pajka Eye Center Inc

  • Ophthalmology Physician
  • Saint Marys, OH
  • NPI 1598869646
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1841343415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124604",
            "telephone_number": "419-782-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 STADIUM DR",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435124604",
            "telephone_number": "419-782-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JULIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER #",
            "identifier": "918504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley J Foor, QMHS
• Prescilla M Foor
• Robert W Foster, BC-HIS
• Gary Fox, M.D.
• Alli Frank
• Fresenius Medical Care Fort Wayne, LLC (Fresenius Medical Care Defiance)
• Caitlin Fritz
• Melinda S Fritz, MD
• Frontline Family Therapy LLC
• Patrick R Fullenkamp, LSW, LICDC

• Optometrist in Defiance, OH
• Providers in Defiance, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.