Active NPI
Patti L Fries, OD
- Optometrist
- Bellevue, NE
National Provider Identifier
1891777629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1188
- Practice address
- 3802 Raynor Parkway
Bellevue, NE 68123 - Phone
- (531) 366-1204
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02310 | IA | |
| Optometrist | 152W00000X | 1188 | NE | Primary |
Addresses
Primary practice location
3802 Raynor Parkway
Bellevue, NE 68123
Mailing address
16226 Dyson Hollow Rd
Bellevue, NE 68123-3806
Phone (402) 212-8324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02310 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focused Eye Care | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1215010293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1891777629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16226 DYSON HOLLOW RD",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681233806",
"telephone_number": "402-212-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3802 RAYNOR PARKWAY",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "68123",
"telephone_number": "531-366-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "PATTI",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02310",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.