Fries, Peter D

Fries, Peter D is an individual health care provider with primary practice located at 777 Tanglefoot Ln , Bettendorf IA 52722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Fries, Peter D can be contacted via phone (563) 323-2020.

Contact Information

Primary practice address
777 Tanglefoot Ln Bettendorf IA 52722
Phone: (563) 323-2020
Fax: (563) 328-5694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036082456 Illinois
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 28136 Iowa
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 036082456 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28136 Iowa

Profile Details

NPI number 1942289996
LBN Legal business name Fries, Peter D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Aug 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942289996 NPPES
Illinois Other 790730 IL GROUP MEDICARE
Illinois MEDICAID 0084467 IL GROUP MEDICARE
Illinois Other 0060350 IL GROUP MEDICARE
Illinois Other 26568 IL GROUP MEDICARE

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