KENNETH C. FRIES, O.D., P.C. (NPI# 1851675441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851675441 |
| Entity Type | Organization |
| Organization Name | KENNETH C. FRIES, O.D., P.C. |
| Practice Address |
412 Us Highway 80 Sw Pooler GA 31322-2541 |
| Mailing Address |
Po Box 14116 Savannah GA 31416-1116 |
| Practice Telephone | 9127483937 |
| Practice Fax Number | 9127486758 |
| Mailing Telephone | 9122726121 |
| Mailing Fax Number | 9126911277 |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2011-10-01 |
| Authorized Official Name | DR. KENNETH C FRIES (OWNER) |
| Authorized Official Telephone | 9122726121 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | GAOPT001492 | GA | Eye and Vision Services Providers |
| Street Address |
412 US HIGHWAY 80 SW |
| City | POOLER |
| State | GA |
| Zip Code | 31322-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982817730 | Anderson Professional Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 412 Us Highway 80 Sw, Pooler, GA 31322-2541 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1922287648 | Michael Neil Callaway | Optometrist | 111 Us Highway 80 Se, Pooler, GA 31322-2533 | 2007-10-30 |
| 1225173578 | Low Country Eye Associates, PC | Optometrist | 1000 Towne Center Blvd Ste 502, Pooler, GA 31322-4068 | 2007-02-21 |
| 1730107277 | Christine Haloda | Optometrist | 15 Mill Creek Cir, Pooler, GA 31322-2151 | 2006-07-17 |
| 1235588062 | Melissa Catherine Keller | Optometrist | 105 Grand Central Blvd, Pooler, GA 31322-4148 | 2016-06-13 |
| 1760883904 | Myeyedr Optometry of Georgia, LLC | Optometrist | 105 Grand Central Blvd, Suite #110, Pooler, GA 31322-4148 | 2014-09-08 |
| 1477976017 | Eyes On Pooler, LLC | Optometrist | 160 Pooler Pkwy, Pooler, GA 31322-4200 | 2014-02-03 |
| 1508119207 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2012-10-18 |
| 1497001382 | Leewood Brawner Still | Optometrist | 105 Grand Central Blvd, Suite 110, Pooler, GA 31322-4148 | 2012-07-28 |
| 1205979242 | William Allen Herren | Optometrist | 15 Mill Creek Circle, Pooler, GA 31322 | 2007-02-15 |
| Find all providers in POOLER | ||||
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| 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.