FREDERICK EYE CARE PLLC
NPI 1164585758
Optometrist in Frederick, OK
About Frederick Eye Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK EYE CARE PLLC (NPI 1164585758) is a healthcare organization registered as an optometrist in Frederick, Oklahoma and active in the NPI registry since December 2006. The organization lists Jimmy D Smart, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Frederick Eye Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Frederick Eye Care PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Frederick Eye Care PLLC's NPI number?
The NPI number for Frederick Eye Care PLLC is 1164585758. It was assigned to this organization in the NPPES registry on December 18, 2006.
Where is Frederick Eye Care PLLC located?
Frederick Eye Care PLLC is located at 104 W Grand Ave, Frederick, OK 73542. The listed phone number is (580) 335-2020.
What is Frederick Eye Care PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Frederick Eye Care PLLC enrolled in Medicare?
Yes. Frederick Eye Care PLLC is registered in the Medicare PECOS enrollment system.
When is Frederick Eye Care PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Frederick Eye Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Frederick Eye Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Frederick Eye Care PLLC was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Frederick Eye Care Pllc · NPI 1164585758
Optometrist organization in Frederick, Oklahoma. Organization record, active in the CMS NPPES registry since December 18, 2006.
## Identity
- **NPI:** 1164585758 (Entity type: Organization)
- **Enumerated:** December 18, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jimmy Smart, OWNER
## Practice location
- **Address:** 104 W GRAND AVE, Frederick, OK 73542-5436
- **Phone:** (580) 335-2020 · **Fax:** (580) 335-7008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oklahoma, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2011
- **Other identifiers:** Medicare NSC 6144580001 (OK); Medicare PIN 600522354 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1164585758) · Data from the CMS NPPES public registry.