Active NPI
William Henry Frey, O.D.
- Optometrist
- Hobart, IN
National Provider Identifier
1851467286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002275
- Practice address
- 341 Main St
Hobart, IN 46342-4441 - Phone
- (219) 942-2811
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002275 | IN | Primary |
Addresses
Primary practice location
341 Main St
Hobart, IN 46342-4441
Mailing address
341 Main St
Hobart, IN 46342-4441
Phone (219) 942-2811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100258570 | Medicaid | IN | |
| 000000544330 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070627000047 | IN | Practitioner - Optometry | 9638278963 | Practice locations: Hobart, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 N Michigan Ave
Hobart, IN 46342-3252
Phone (219) 942-2811
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002275 | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1851467286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 MAIN ST",
"city": "HOBART",
"state": "IN",
"postal_code": "463424441",
"telephone_number": "219-942-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 MAIN ST",
"city": "HOBART",
"state": "IN",
"postal_code": "463424441",
"telephone_number": "219-942-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100258570",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000544330",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.