FRY EYE ASSOCIATES PA
NPI 1124049499
Ophthalmology in Garden City, KS

Active since July 22, 2006CLIA 17D1038365 · Waiver
502 COLLEGE STREET, GARDEN CITY, KS 67846(620) 275-7248(620) 275-5262 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fry Eye Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRY EYE ASSOCIATES PA (NPI 1124049499) is a healthcare organization registered as an ophthalmology in Garden City, Kansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Jennifer Teeter, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1124049499
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameFRY EYE ASSOCIATES PA
Location Address502 COLLEGE STREETGarden City, KS 67846-6183
Mailing Address502 College StreetGarden City, KS 67846-6183 · (620) 275-7248 · Fax (620) 275-5262
Fax(620) 275-5262
Organization SubpartNo
Authorized OfficialJennifer TeeterPractice Administrator · (620) 275-7248
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1124049499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
502 COLLEGE STREET, Garden City, KS 67846

Other Identifiers 3

Medicaid94001922CO
Medicaid100722450AOK
Medicaid100215250AKS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fry Eye Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fry Eye Associates PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1114941226
502 COLLEGE ST
Garden City, KS 67846
(620) 275-7248
✔ PECOSSame address
Ophthalmology
NPI 1538373485
502 COLLEGE ST
Garden City, KS 67846
(620) 275-7248
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1114450566
502 COLLEGE DR
Garden City, KS 67846
(620) 275-7248
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1003346032
713 MCKINLEY ST
Great Bend, KS 67530
(620) 792-3535
✔ PECOS✔ Accepts Medicare115 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D1038365

Fry Eye Associates, PA · Garden City, KS
Active · expires Mar 16, 2027
CLIA Number17D1038365
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorJennifer D. Teeter
Laboratory Phone(620) 275-7248
Laboratory LocationFry Eye Associates, PA502 College Street, Garden City, KS 67846
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fry Eye Associates PA's NPI number?

The NPI number for Fry Eye Associates PA is 1124049499. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Fry Eye Associates PA located?

Fry Eye Associates PA is located at 502 College Street, Garden City, KS 67846. The listed phone number is (620) 275-7248.

What is Fry Eye Associates PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Fry Eye Associates PA enrolled in Medicare?

Yes. Fry Eye Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fry Eye Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Fry Eye Associates PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (3) and Optometry (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fry Eye Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1038365) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fry Eye Associates PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Fry Eye Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fry Eye Associates PA was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.