Individual provider Active NPI

Melanie J Frogozo, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1992961874
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7706TG Issued in TX
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

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PLLCGroup PAC ID 6204050586, 3 clinicians

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

LicenseStateTypeSpecialty
002566IAMDOptometrist
2008017082MOMDOptometrist
7706TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.