Organization Active NPI

Frier Family Eye Care Inc

  • Optometrist
  • Vicksburg, MS
National Provider Identifier
1942584693
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
804 Issued in MS
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

Updated by the provider on Dec 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jill Frier, ODNPI 1518111574
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03678346MedicaidMS

Other names 1

  • Acute Vision Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110930000294 MS Part B Supplier - Clinic/Group Practice 7719159433 Receives reassigned benefits from 1 practitioner
Practice locations: Vicksburg, MS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.