Active NPI
Michael S Frisch, OD
- Corneal and Contact Management Optometrist
- Northridge, CA
National Provider Identifier
1912932286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 8467T
- Practice address
- 9036 Balboa Blvd
Northridge, CA 91325-2610 - Phone
- (818) 894-8127
- NPI assigned
- Jul 12, 2006
- Last updated
- Aug 14, 2008
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 8467T | CA | Primary |
Addresses
Primary practice location
9036 Balboa Blvd
Northridge, CA 91325-2610
Mailing address
9036 Balboa Blvd
Northridge, CA 91325-2610
Phone (818) 894-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20050607001399 | CA | Practitioner - Optometry | 2163465451 | Practice locations: Northridge, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8467 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 8467T | CA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1912932286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9036 BALBOA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913252610",
"telephone_number": "818-894-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9036 BALBOA BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913252610",
"telephone_number": "818-894-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISCH",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "8467T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.