JEFFREY A FRIES (OD) – Optometrist, NPI 1407821499
Optometrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
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Provider Addresses for JEFFREY A FRIES (OD)
Northeast Multnomah Street, Montavilla, Portland, Metro, Multnomah County, Oregon, 97220, United States
PORTLAND, OR 972322031
Phone: (503) 813-4756
Fax: (877) 821-5101
Type: Mailing
Kaiser Permanente Longview-Kelso Medical Office, 1230, 7th Avenue, Longview, Cowlitz County, Washington, 98632, United States
LONGVIEW, WA 986323166
Phone: (877) 213-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080617000061 | I | Optometry | WA | TBD |
| I20190305000833 | I | Optometry | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97232)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | WA | 92083 | Measurement of field of vision during daylight conditions | 88 | 83 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | TX | |
| Emergency Medicine | OR | |
| D E R M A T O L O G Y | AZ | |
| Nurse Practitioner | OR | |
| Diagnostic Radiology | OR | |
| D E R M A T O L O G Y | WA | |
| - | OR | |
| - | CA | |
| General Surgery | CA | |
| - | OR |
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