IndividualActive
Frederick Fagan, O.D.
NPI 1710153069 · Optometrist · Northlake, IL
Frederick Fagan, O.D. is a Optometrist provider in Northlake, IL (NPI 1710153069).
Provider details
- NPI number
- 1710153069
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 046006959 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
141 W North Ave
Northlake, IL 60164-2322
Phone: (708) 492-1425
Street-level locationGet directions
Mailing address
1109 Oxford Ct
Oakbrook Terrace, IL 60181-5251
Registry dates
- Enumerated
- 2008-05-07
- Last updated
- 2008-05-07
Frequently asked questions
- What is Frederick Fagan's NPI number?
- Frederick Fagan's National Provider Identifier (NPI) is 1710153069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frederick Fagan's specialty?
- Frederick Fagan is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Frederick Fagan located?
- Frederick Fagan's practice location on file with NPPES is 141 W North Ave, Northlake, IL 60164-2322.
- What is Frederick Fagan's phone number?
- The practice phone number listed in the NPPES registry for Frederick Fagan is (708) 492-1425.
- Is Frederick Fagan's NPI active?
- Yes — Frederick Fagan's NPI (1710153069) is active in the NPPES registry as of the last update on 2008-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.