Individual provider Active NPI

Edward Henry Fries, O.D.

  • Optometrist
  • Decatur, TX
National Provider Identifier
1013029198
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5685TG Issued in TX
Practice address
303 S Washburn St
Decatur, TX 76234-1633
Phone
(940) 627-2020
Fax
(940) 627-1144
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5685TG TX Primary

Addresses

Primary practice location

303 S Washburn St
Decatur, TX 76234-1633

Mailing address

303 S Washburn St
Decatur, TX 76234-1633
Phone (940) 627-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000271 TX Practitioner - Optometry 2466410907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 S Washburn St
Dba Decatur Eye Center
Decatur, TX 76234-1633
Phone (940) 627-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5685TXMDAddiction (Substance Use Disorder) Counselor
5685TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Henry Fries Optometrist CurrentSince Jan 1, 2004 Accepting new patients

Locations

303 S Washburn St
Decatur, TX 76234
Phone (940) 627-1414

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013029198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S WASHBURN ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341633",
            "telephone_number": "940-627-2020",
            "fax_number": "940-627-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WASHBURN ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341633",
            "telephone_number": "940-627-2020",
            "fax_number": "940-627-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "EDWARD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5685TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.