Active NPI
Frier Family Eye Care Inc
- Optometrist
- Vicksburg, MS
National Provider Identifier
1942584693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 804
- Legal business name
- FRIER FAMILY EYE CARE INC
- Practice address
- 2152 Iowa Blvd
Vicksburg, MS 39180-5572 - Phone
- (601) 636-3937
- Fax
- (601) 778-0107
- NPI assigned
- Sep 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jill Frier, OD
- Title
- Optometrist
- Phone
- (601) 636-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 804 | MS | Primary |
Addresses
Primary practice location
2152 Iowa Blvd
Vicksburg, MS 39180-5572
Mailing address
PO Box 4066
Brandon, MS 39047-4066
Phone (601) 636-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03678346 | Medicaid | MS |
Other names 1
- Acute Vision Eye Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110930000294 | MS | Part B Supplier - Clinic/Group Practice | 7719159433 |
Receives reassigned benefits from 1 practitioner Practice locations: Vicksburg, MS |
National Provider Directory
National Provider DirectoryLocations
2152 Iowa Blvd
Vicksburg, MS 39180
Phone (601) 636-3937
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Hiram, GA
- NPI 1649213471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575331200000",
"number": "1942584693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4066",
"city": "BRANDON",
"state": "MS",
"postal_code": "390474066",
"telephone_number": "601-636-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2152 IOWA BLVD",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391805572",
"telephone_number": "601-636-3937",
"fax_number": "601-778-0107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIER FAMILY EYE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-29",
"last_updated": "2019-12-03",
"status": "A",
"authorized_official_last_name": "FRIER",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "601-636-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03678346",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Acute Vision Eye Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Acute Vision Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.