WALTER I. FRIED PH.D. M.D. S.C. NPI 1629064514

NPI Information

  • NPI: 1629064514
  • Provider Name: WALTER I. FRIED PH.D., M.D., S.C.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Doing Business As: SUREVISION EYE CENTERS OF LAKE COUNTY
  • Address: 3477 GRAND AVE
    GURNEE, IL
    ZIP 60031
  • Phone: (847) 249-4660

Map and Directions

Get Directions

NPI Details

WALTER I. FRIED PH.D., M.D., S.C. is an ophthalmology in Gurnee, IL. The provider is 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. WALTER I. FRIED PH.D., M.D., S.C. NPI is 1629064514. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surevision Eye Centers Of Lake County.

The provider's business location address is:

3477 GRAND AVE
GURNEE, IL
ZIP 60031-734
Phone: (847) 249-4660
Fax: (847) 249-4950

The provider's authorized official is Tera Bohringer .
The authorized official title is Business Office Manager and has the following contact phone number (847) 249-4660.

The enumeration date for this NPI number is 9/26/2005 and was last updated on 1/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1246952MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP #
21024130001MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI