Fries, Timothy D.

Fries, Timothy D. is an individual health care provider with primary practice located at 207 Glenn Ave , Washington Court House OH 43160-1711. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fries, Timothy D. can be contacted via phone (740) 335-2020.

Contact Information

Primary practice address
207 Glenn Ave Washington Court House OH 43160-1711
Phone: (740) 335-2020
Fax: (740) 335-1025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5472 T2384 Ohio

Profile Details

NPI number 1538168943
LBN Legal business name Fries, Timothy D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 23rd, 2013 - about 12 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 1538168943 NPPES
Ohio MEDICAID 2506550

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