DR. JULIE ANNETTE FREDERICK (O.D.) – Optometrist, NPI 1841343415

DR. JULIE ANNETTE FREDERICK (O.D.) is a healthcare provider. based in Defiance, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4928 (OH). The NPI Number for DR. JULIE ANNETTE FREDERICK (O.D.) is 1841343415

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JULIE ANNETTE FREDERICK (O.D.)
NPI
1841343415
Phone
(419) 782-2122
Address
1500 N CLINTON ST
Enumeration Date
18 January 2007
Last Update Date
18 April 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4197823937
Graduation Year
1998 (28 years ago)
PAC ID
2062585532
Group Practice PAC ID
2264587658
Professional Enrollment ID
I20080716000327
Address ID
OH435124604DE283XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. JULIE ANNETTE FREDERICK (O.D.)

  • 1500, North Clinton Street, Williamstown, Defiance, Noble Township, Defiance County, Ohio, 43512, United States

    SEARS OPTICAL

    DEFIANCE, OH 435128886

    Phone: (419) 782-2122

    Fax: (419) 782-2123

    Type: Location

  • 283 STADIUM DR

    DEFIANCE, OH 435124604

    Phone: (419) 782-3937

    Type: Mailing

  • 1732, Woodhurst Drive, Defiance, Defiance Township, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435123444

    Phone: (419) 782-6222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($22).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080716000327IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina6060$0
92004New patient complete exam of visual system3737$0
92014Established patient complete exam of visual system1616$0
View full utilization report →

Insurance plans in this area (ZIP 43512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264587658View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

How is DR. JULIE ANNETTE FREDERICK (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JULIE ANNETTE FREDERICK (O.D.) with NPI 1841343415.
Can I rely on DR. JULIE ANNETTE FREDERICK (O.D.) being an active provider?
As of the registry snapshot, DR. JULIE ANNETTE FREDERICK (O.D.) is marked active.
What is DR. JULIE ANNETTE FREDERICK (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. JULIE ANNETTE FREDERICK (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. JULIE ANNETTE FREDERICK (O.D.) serve?
DR. JULIE ANNETTE FREDERICK (O.D.)'s listing highlights Defiance, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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