DR. BRENT B FRY (O.D.) – Optometrist, NPI 1154325819

DR. BRENT B FRY (O.D.) is a healthcare provider. based in Knoxville, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1904 (TN). The NPI Number for DR. BRENT B FRY (O.D.) is 1154325819

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT B FRY (O.D.)
NPI
1154325819
Phone
(865) 966-0100
Address
11111 KINGSTON PIKE
Enumeration Date
10 June 2005
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8655772020
Graduation Year
1998 (28 years ago)
PAC ID
6002002987
Group Practice PAC ID
8426244203
Professional Enrollment ID
I20101118000787
Address ID
TN379203058KN4300XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:21State licenses:2Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. BRENT B FRY (O.D.)

  • 11111 KINGSTON PIKE

    KNOXVILLE, TN 379342807

    Phone: (865) 966-0100

    Fax: (865) 966-0007

    Type: Mailing

  • Kingston Pike, Green Valley, Knoxville, Knox County, Tennessee, 37934, United States

    STE A

    KNOXVILLE, TN 379222890

    Phone: (865) 966-0100

    Fax: (865) 966-0007

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $2,165.

Total Amount is formed as General ($2,165) + Research ($0) + Ownership ($0) = $2,165.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: CooperVision Inc. ($629).

Total Amount

$2,165

General + Research + Ownership

Payments

46

Total payment records

General Amount

$2,165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2010-11-18

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
I20101118000787IOptometryTNTBD

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
92014Established patient complete exam of visual system8782$0
92012Established patient problem focused exam of visual system5537$0
92250Photography of the retina2928$0
92004New patient complete exam of visual system2828$0
68761Closure of tear duct opening using plug2011$0
View full utilization report →

Insurance plans in this area (ZIP 37934)

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Reviews

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Frequently asked questions

Is DR. BRENT B FRY (O.D.) listed with a National Provider Identifier?
Yes — DR. BRENT B FRY (O.D.) has NPI 1154325819 on file in the registry.
Active or inactive — what applies to DR. BRENT B FRY (O.D.)?
You should see DR. BRENT B FRY (O.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. BRENT B FRY (O.D.)?
DR. BRENT B FRY (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. BRENT B FRY (O.D.) associated with Knoxville?
Public fields place DR. BRENT B FRY (O.D.) around Knoxville, Tennessee. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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