Timothy D. Fries, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5472 T2384 Issued in OH

Practice address

207 Glenn Ave
Washington Court House, OH 43160-1711

Phone

(740) 335-2020

Fax

(740) 335-1025

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fries Eye Care, LLC

  • Optometrist
  • Westerville, OH
  • NPI 1609018126
  Medicare reassignment Authorized official
• Optometric Management Group LLC

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  Medicare reassignment NPD
• Cet Eyecare Partners LLC

  • Optometrist
  • Dublin, OH
  • NPI 1427597939
  NPD Authorized official
• Fries Eye Care, LLC

  • Optometrist
  • Washington Court House, OH
  • NPI 1407141906
  NPD Authorized official
• Athens Eye Care, LLC

  • Optometrist
  • Athens, OH
  • NPI 1023068228
  NPD (past)
• Mobile Medical, Inc.

  • Podiatrist
  • Perrysburg, OH
  • NPI 1003066747
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1538168943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GLENN AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601711",
            "telephone_number": "740-335-2020",
            "fax_number": "740-335-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GLENN AVE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601711",
            "telephone_number": "740-335-2020",
            "fax_number": "740-335-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "TIMOTHY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5472 T2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2506550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Four Seasons Therapy Partners LLC
• Dwight Fox
• Melody A Fox
• Allison Freeman, CDCA
• Fries Eye Care, LLC
• Nicholas David Fulkerson
• Carla M Garinger, BSN, RN
• Janaye Gault
• George H Pommert DDS Inc
• David Gillespie, DDS

• Optometrist in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.