DR. PETER D FRIES


Address: 777 Tanglefoot Ln, Bettendorf, IA 52722
Phone: 5633232020

DR. PETER D FRIES (NPI# 1942289996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942289996
Entity Type Individual
Full Name DR. PETER D FRIES
Credential MD
Practice Address 777 Tanglefoot Ln
Bettendorf
IA 52722
Mailing Address 777 Tanglefoot Ln
Bettendorf
IA 52722-1650
Practice Telephone 5633232020
Practice Fax Number 5633285694
Mailing Telephone 5633232020
Mailing Fax Number 5633285694
Enumeration Date 2006-01-10
Last Update Date 2018-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 036082456 IL Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology 28136 IA Allopathic & Osteopathic Physicians
N 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
036082456 IL Allopathic & Osteopathic Physicians
N 207WX0200X Ophthalmology
Specialization: Ophthalmic Plastic and Reconstructive Surgery
28136 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA IA GROUP MEDICARE 26568 01
IA IA GROUP MEDICAID 0060350 01
IA 0084467 05
IL IL GROUP MEDICARE 790730 01

Other Providers PETER FRIES

NPI Name Taxonomy Address Enumeration
1205856689 Peter Fries Physician Assistant 1675 Leahy St, Suite 103, Muskegon, MI 49442-5500 2006-07-20

Office Location

Street Address 777 TANGLEFOOT LN
City BETTENDORF
State IA
Zip Code 52722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528060084 Lisa Brothers Arbisser Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2005-08-15
1457979197 Sara S Kloft Optometrist 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2020-07-09
1326498593 Richard Wilkins Yemm Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2016-06-17
1376953042 Jonathan Ryan Isgrig Optometrist 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2014-05-05
1366794695 Scott Baldwin Optometrist 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2012-10-10
1033403100 Yasser Elshatory Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722 2011-06-06
1386958064 Carlton Robert Fenzl Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722 2010-08-04
1982833653 Brian David Hansel Optometrist 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2009-07-02
1750545455 Martin R O'malley Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2008-07-11
1194987016 Beth R Repp Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2008-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770198855 Wellspire-bettendorf LLC Skilled Nursing Facility 4699 53rd Ave, Bettendorf, IA 52722 2020-09-15
1558873315 Erin M Kohrt Speech-Language Pathologist 2500 Grant Street, Bettendorf, IA 52722 2017-11-01
1437680295 Holli Christine Martin Chiropractor 3048 Victoria St., Bettendorf, IA 52722 2017-03-23
1598219552 Alyssa Renee Matz Counselor 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 2016-08-08
1144625021 Athletico Ltd Physical Therapist 3252 Ridge Point, Bettendorf, IA 52722 2014-11-04
1609282862 Katherine L Browne Nurse Practitioner 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 2014-07-09
1316357494 Kayla Leigh Ehrman Family Medicine 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 2014-04-29
1043648454 Duane Anthony Halbur Jr. Counselor 2420 Salem Ct, Bettendorf, IA 52722 2013-10-22
1376881185 Christopher D Murphy Physical Therapist 2300 53rd Ave Ll02, Bettendorf, IA 52722 2013-01-29
1326386574 Kelly C Harry Occupational Therapist 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 2013-01-23
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134106594 William Joseph Benevento Ophthalmology 777 Tanglefoot Lane, Eye Surgeons Associates PC, Bettendorf, IA 52722-1650 2005-12-28
1528060084 Lisa Brothers Arbisser Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2005-08-15
1326498593 Richard Wilkins Yemm Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2016-06-17
1033403100 Yasser Elshatory Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722 2011-06-06
1386958064 Carlton Robert Fenzl Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722 2010-08-04
1750545455 Martin R O'malley Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2008-07-11
1194987016 Beth R Repp Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2008-07-01
1952373383 Tina J Eckhardt Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2006-02-01
1467430355 Paul Norman Arnold Ophthalmology 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 2006-01-03
1043297492 John Charles Frederick Ophthalmology 777 Tanglefoot Ln, Eye Surgeons Associates PC, Bettendorf, IA 52722 2005-12-28
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City BETTENDORF
Zip Code 52722

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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