DR. THERESA L. FRITH (O.D.) – Optometrist, NPI 1366497877

DR. THERESA L. FRITH (O.D.) is a healthcare provider. based in Portage, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2809-035 (WI). The NPI Number for DR. THERESA L. FRITH (O.D.) is 1366497877

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. THERESA L. FRITH (O.D.)
NPI
1366497877
Phone
(608) 742-7161
Address
2825 HUNTERS TRL
Enumeration Date
23 May 2006
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6083552033
Graduation Year
1997 (29 years ago)
PAC ID
6204981632
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20161110001656
Address ID
WI539131501BA1626XSTXX300

Contacts

Secure Messaging
tfrith258548@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

798 OPTOMETRY in WI

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Provider Addresses for DR. THERESA L. FRITH (O.D.)

  • 2825 HUNTERS TRL

    PORTAGE, WI 539013429

    Phone: (608) 742-7161

    Fax: (608) 745-3990

    Type: Mailing

  • 1626 TUTTLE ST STE 1

    BARABOO, WI 539131501

    Phone: (608) 356-2020

    Fax: (608) 355-7055

    Type: Mailing

  • 1626, Tuttle Street, Baraboo, Sauk County, Wisconsin, 53913, United States

    BARABOO, WI 539131501

    Phone: (608) 356-2020

    Fax: (608) 355-7055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-11-10

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
I20161110001656IOptometryWITBD

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
66984Removal of cataract with insertion of prosthetic lens4,50036$0
99214Established patient office or other outpatient visit, 30-39 minutes226213$0
92014Established patient complete exam of visual system132132$0
99213Established patient office or other outpatient visit, 20-29 minutes12482$0
92134Imaging of retina8780$0
View full utilization report →

Insurance plans in this area (ZIP 53901)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
O P T O M E T R YWI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
Family PracticeWI

Reviews

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Frequently asked questions

Can I verify DR. THERESA L. FRITH (O.D.) with an NPI only?
You can start verification with NPI 1366497877 for DR. THERESA L. FRITH (O.D.), then check state licensing separately.
Can I rely on DR. THERESA L. FRITH (O.D.) being an active provider?
As of the registry snapshot, DR. THERESA L. FRITH (O.D.) is marked active.
What is DR. THERESA L. FRITH (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. THERESA L. FRITH (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. THERESA L. FRITH (O.D.) serve?
DR. THERESA L. FRITH (O.D.)'s listing highlights Portage, Wisconsin; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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