Individual
JEFFREY A FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3445
WA
152W00000X
Optometrist
Primary
OD00003445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021814
—
WA
Enumeration date
02/22/2006
Last updated
02/04/2022
Update your record
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