Individual provider Active NPI

Stanley A Fruzynski, O.D.

  • Optometrist
  • Belle Vernon, PA
National Provider Identifier
1982694915
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002037 Issued in PA
Practice address
710 Tri County LN
Belle Vernon, PA 15012-1987
Phone
(724) 929-2229
Fax
(724) 929-2907
NPI assigned
Oct 21, 2005
Last updated
Jul 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002037 PA Primary

Addresses

Primary practice location

710 Tri County LN
Belle Vernon, PA 15012-1987

Mailing address

710 Tri County LN
Belle Vernon, PA 15012-1987
Phone (724) 929-2229

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
I20090904000390 PA Practitioner - Optometry 1658426135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 Tri County LN
Belle Vernon, PA 15012-1987
Phone (724) 929-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Vision Center, Inc. CurrentSince Mar 29, 1997 Accepting new patients

Locations

710 Tri County Ln
Belle Vernon, PA 15012
Phone (724) 929-2229

Interoperability endpoints

  • Direct secure messaging: stanley.fruzynski@direct.revolutionehr.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1982694915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 TRI COUNTY LN",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121987",
            "telephone_number": "724-929-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 TRI COUNTY LN",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121987",
            "telephone_number": "724-929-2229",
            "fax_number": "724-929-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUZYNSKI",
        "first_name": "STANLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

Verify at the official NPI Registry.