Individual
MATTHEW VINCENT FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4741 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6957
(913) 261-2020
Mailing address
4741 S ARROWHEAD DR, INDEPENDENCE, MO 64055-6957
(913) 261-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-51062
KS
207W00000X
Ophthalmology Physician
Primary
2025030497
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
08/12/2025
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