Jeffrey A Fries, OD | |
1230 7th Ave, Longview, WA 98632-3166 | |
(877) 213-2000 | |
Not Available |
Full Name | Jeffrey A Fries |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 27 Years |
Location | 1230 7th Ave, Longview, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407821499 | NPI | - | NPPES |
2021814 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3445 (Washington) | Secondary |
152W00000X | Optometrist | OD00003445 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey A Fries, OD 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (503) 813-4756 | Jeffrey A Fries, OD 1230 7th Ave, Longview, WA 98632-3166 Ph: (877) 213-2000 |
Ian Matthew Cheslock, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735 | |
Michael D. Berger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Charles A Wardle Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1426 Commerce Ave, Longview, WA 98632 Phone: 360-423-7650 Fax: 360-423-2346 | |
Kristi Kaylynn Poe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 Ocean Beach Hwy, Suite 100, Longview, WA 98632 Phone: 360-636-2020 Fax: 360-425-0221 | |
Cascade Eye Care Ps Optometrist Medicare: Medicare Enrolled Practice Location: 950 11th Ave, Longview, WA 98632 Phone: 360-577-1500 Fax: 360-425-0735 | |
Paul Nefedov, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Triangle Ctr Ste 400, Longview, WA 98632 Phone: 360-423-0220 Fax: 360-423-0697 |