Dr. Edward Henry Fries
Optometrist
303 S Washburn St
Decatur
, Texas 76234-1633
Dr. Edward Henry Fries
Optometrist
303 S Washburn St
Decatur
, Texas 76234-1633
(940) 627-1144
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Edward Henry Fries
- 303 S Washburn St
- Decatur, TX
- Zip : 76234-1633
- Fax : (940) 627-1144
- Phone : (940) 627-2020
Second Address
- Dr. Edward Henry Fries
- 303 S Washburn St
- Decatur, TX
- Zip : 76234-1633
- Fax : (940) 627-1144
- Phone : (940) 627-2020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5685TG | TX |
National Provider Identifier
| NPI | 1013029198 |
|---|---|
| Provider Name | Dr. Edward Henry Fries |
| First Address | Decatur, TX 76234-1633 |
| Second Address | Decatur, TX 76234-1633 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 22/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MF1366663 | DEA (01) | TX |
| V02975 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.