NPIMap

Organization Active NPI

Fries Eye Care, LLC

Doing business as Professional Eye Care at Westar

  • Optometrist
  • Westerville, OH
National Provider Identifier
1609018126
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5472 Issued in OH
Legal business name
FRIES EYE CARE, LLC
Doing business as
Professional Eye Care at Westar
Practice address
484 County Line Rd W
Suite 120
Westerville, OH 43082-7080
Phone
(614) 895-9955
Fax
(614) 895-8826
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Dr. Timothy D Fries, O.D.NPI 1538168943
Title
President
Phone
(614) 895-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5472 OH Primary

Addresses

Primary practice location

484 County Line Rd W
Suite 120
Westerville, OH 43082-7080

Mailing address

484 County Line Rd W
Suite 120
Westerville, OH 43082-7080
Phone (614) 895-9955

Other names 1

  • Professional Eye Care at Westar Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090527000369 OH Part B Supplier - Clinic/Group Practice 7113076969 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Springfield, OH; Washington Court House, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1609018126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-895-9955",
            "fax_number": "614-895-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-895-9955",
            "fax_number": "614-895-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIES EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-895-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eye Care at Westar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.