Provider Demographics
NPI:1073511366
Name:FRIER, CATHY L (OD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:L
Last Name:FRIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:EL DORADO SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64744-2316
Mailing Address - Country:US
Mailing Address - Phone:417-876-6052
Mailing Address - Fax:417-876-3352
Practice Address - Street 1:701 E HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:EL DORADO SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64744-2316
Practice Address - Country:US
Practice Address - Phone:417-876-6052
Practice Address - Fax:417-876-3352
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT02316152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT70960Medicare UPIN
MO0295900001Medicare NSC