Individual
DR. MICHELLE L FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
902 W WAYNE ST, FORT WAYNE, IN 46802-3976
(260) 422-0942
Mailing address
902 W WAYNE ST, FORT WAYNE, IN 46802-3976
(260) 422-9421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003461A
IN
152WC0802X
Corneal and Contact Management Optometrist
18003461A
IN
152WP0200X
Pediatric Optometrist
18003461A
IN
152WV0400X
Vision Therapy Optometrist
18003461A
IN
Other
Enumeration date
07/06/2007
Last updated
08/25/2023
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