Active NPI
Melanie J Frogozo, O.D.
- Optometrist
- San Antonio, TX
National Provider Identifier
1992961874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7706TG
- Practice address
- 1742 N Loop 1604 E Ste 118
San Antonio, TX 78232-1594 - Phone
- (210) 403-9050
- Fax
- (210) 403-9939
- NPI assigned
- Jul 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2008017082 | MO | |
| Optometrist | 152W00000X | 002566 | IA | |
| Optometrist | 152W00000X | 7706TG | TX | Primary |
Addresses
Primary practice location
1742 N Loop 1604 E Ste 118
San Antonio, TX 78232-1594
Mailing address
1742 N Loop 1604 E Ste 118
San Antonio, TX 78232-1594
Phone (210) 403-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20110907000973 | TX | Practitioner - Optometry | 2860568326 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Androzo Enterprises, PLLC
Practice addresses (Care Compare)
1742 N Loop 1604
Suite 117
San Antonio, TX 78232-1594
Phone (210) 403-9050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002566 | IA | MD | Optometrist |
| 2008017082 | MO | MD | Optometrist |
| 7706TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark K Davis & Associates, PA | Optometrist | Past | Accepting new patients |
| Professional Eyecare Metro North Inc | Optometrist | Past | Accepting new patients |
| Professional Eyecare Zona Rosa Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Corneal and Contact Management Optometrist
- San Antonio, TX
- NPI 1275958712
TX
-
- Optometrist
- San Antonio, TX
- NPI 1770765497
-
- Optometrist
- Kansas City, MO
- NPI 1568513836
-
- Optometrist
- Kansas City, MO
- NPI 1336291913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1992961874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 N LOOP 1604 E STE 118",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321594",
"telephone_number": "210-403-9050",
"fax_number": "210-403-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 N LOOP 1604 E STE 118",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321594",
"telephone_number": "210-403-9050",
"fax_number": "210-403-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROGOZO",
"first_name": "MELANIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2008017082",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "002566",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7706TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.