Provider Demographics
NPI:1801011382
Name:FRYE, THOMAS J ()D)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:FRYE
Suffix:
Gender:M
Credentials:)D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4238
Mailing Address - Country:US
Mailing Address - Phone:615-859-6778
Mailing Address - Fax:
Practice Address - Street 1:2240 GALLATIN PIKE N
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2006
Practice Address - Country:US
Practice Address - Phone:615-859-6778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1140152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist