Physician Compare National (NPI:1649433673)

HEALTHCARE PROVIDER: ELIZABETH WRIGHT FRASER O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649433673
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577703214
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130701000486
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FRASER
	Individual professional last name
Provider First Name	ELIZABETH
	Individual professional first name
Provider Middle Name	WRIGHT
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	495 WANDO PARK BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	MOUNT PLEASANT
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	294647952
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8434221625
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y