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KENT LEE FRAZIER OD
NPI 1710004106
Optometrist in Neosho, MO

Active since March 23, 2007Opted out of Medicare · through Apr 1, 2028
3200 LUSK DR, NEOSHO, MO 64850(417) 451-1119(417) 451-2479 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kent Lee Frazier Od NPPES

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

KENT LEE FRAZIER OD (NPI 1710004106) is an individual optometrist in Neosho, Missouri, licensed in Missouri (TO3105) and active in the NPI registry since March 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710004106
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENT LEE FRAZIERCredential: OD
Location Address3200 LUSK DRNeosho, MO 64850-2028
Mailing Address604 Split Rail DrJoplin, MO 64801-9198 · (417) 673-4066
Phone(417) 451-1119
Fax(417) 451-2479
Sole ProprietorYes
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710004106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · TO3105
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3200 LUSK DR, Neosho, MO 64850
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Other Identifiers 1

Medicare UPINU46428MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kent Lee Frazier Od has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN STONER PHARMD
Pharmacist
3200 LUSK DR
NEOSHO, MO 64850
Newton County (417) 451-1177
KADY FEARNOW
Pharmacist
3200 LUSK DR
NEOSHO, MO 64850
Newton County (417) 451-1177
WAL-MART STORES EAST, LP
Eyewear Supplier
3200 LUSK DR
NEOSHO, MO 64850
Newton County (417) 451-5544
JAMIE LYN DAVIS DOCTOR OF PHARMACY
Pharmacist
3200 LUSK DR
NEOSHO, MO 64850
Newton County (417) 451-1177
DR. TYLER WAYNE ALLEN PHARMD
Pharmacist
3200 LUSK DR
NEOSHO, MO 64850
Newton County (417) 451-1177
MRS. DADRION ANNETTE GASTON R.PH
Pharmacist
3200 LUSK DR
NEOSHO, MO 64850
Newton County (417) 451-1177
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
3200 LUSK DR
NEOSHO, MO 64850
Newton County (417) 451-1177

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 Kent Frazier's NPI number?

The NPI number for Kent Frazier is 1710004106. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Kent Frazier located?

Kent Frazier practices at 3200 Lusk Dr, Neosho, MO 64850. The listed phone number is (417) 451-1119.

What is Kent Frazier's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kent Frazier enrolled in Medicare?

No. Kent Frazier has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kent Frazier was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.