Individual provider Active NPI

Jessica Frye, OD

  • Optometrist
  • Monroeville, PA
National Provider Identifier
1962844647
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002766 Issued in PA
Practice address
370 Monroeville Mall
Monroeville, PA 15146-2256
Phone
(412) 373-2200
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002766 PA Primary

Addresses

Primary practice location

370 Monroeville Mall
Monroeville, PA 15146-2256

Mailing address

899 Beacon LN
Pittsburgh, PA 15237-0909
Phone (724) 713-6122

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20151112002557 PA Practitioner - Optometry 9436462298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stirling Eyecare CenterGroup PAC ID 2961401807, 4 clinicians

Practice addresses (Care Compare)

166 Point PLZ
Butler, PA 16001-2572
Phone (724) 285-2618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002766PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stirling Eyecare Center Optometrist CurrentSince May 20, 2024 Accepting new patients
Kristi K Weatherly OD LLC Optometrist PastSince Jul 5, 2020 Accepting new patients
Stirling Village Eye Care Optometrist PastSince May 20, 2024 Accepting new patients

Locations

166 Point Plz
Butler, PA 16001
Phone (330) 758-0708

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1962844647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 BEACON LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152370909",
            "telephone_number": "724-713-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MONROEVILLE MALL",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462256",
            "telephone_number": "412-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.