Michelle L. Frye, O.d. Llc | |
902 W Wayne St Fort Wayne IN 46802-3976 | |
(260) 422-9421 | |
Not Available |
Full Name | Michelle L. Frye, O.d. Llc |
---|---|
Speciality | Clinic/Center |
Location | 902 W Wayne St, Fort Wayne, Indiana |
Authorized Official Name and Position | Michelle Frye (OWNER) |
Authorized Official Contact | 6042294221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Michelle L. Frye, O.d. Llc 2324 County Road 56 Auburn IN 46706-9507 Ph: (260) 925-4893 | Michelle L. Frye, O.d. Llc 902 W Wayne St Fort Wayne IN 46802-3976 Ph: (260) 422-9421 |
NPI Number | 1437517968 |
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Provider Enumeration Date | 01/28/2016 |
Last Update Date | 09/01/2021 |
Medicare PECOS PAC ID | 1658677406 |
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Medicare Enrollment ID | O20160304001034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437517968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 18003461B (Indiana) | Primary |
Provider Name | Michelle Frye |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063610517 PECOS PAC ID: 7517068679 Enrollment ID: I20160304001091 |
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