NPI 1407821499

Jeffrey a Fries, OD

Practitioner Optometrist Longview, WA

Practice location

Address: 1230 7th Ave, Longview, WA 98632-3166
Phone: (877) 213-2000
Mailing address: 500 NE Multnomah St STE 100, Portland, OR 97232-2031

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00003445 (WA)

Other Optometrist providers in Washington →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3445 (WA)

Registry record

NPI: 1407821499
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2006
Record last updated: 4 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.