MEDICARE: LETITIA T FRY LDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	4617	FL

General Provider Information

NPI Number	:	1588597843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETITIA T FRY LDO

Provider Business Mailing Address
First Line	:	2000 STATE ROAD 60 E
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33898-5182
Country	:	US
Telephone Number	:	863-679-1915
Fax Number	:	863-679-1634

Provider Business Practice Location Address
First Line	:	2000 STATE ROAD 60 E
Second Line	:
City	:	LAKE WALES
State	:	FL
Zip	:	33898-5182
Country	:	US
Telephone Number	:	863-679-1915
Fax Number	:	863-679-1634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

Similar Medicare Providers

1598782708 — WAL-MART STORES EAST LP
Practice Location Address:

2000 STATE ROAD 60 E
LAKE WALES, FL
33898-5182

Practice Phone: 863-676-9468
Practice Fax:

1649381708 — RICHARD S MILLER OD
Practice Location Address:

2000 SR 60 EAST
LAKE WALES, FL
33898-5182

Practice Phone: 863-679-1915
Practice Fax: 863-679-1634

1477644854 — WAL-MART STORES EAST, LP
Practice Location Address:

2000 STATE ROAD 60 E
LAKE WALES, FL
33898-5182

Practice Phone: 863-676-9425
Practice Fax:

1043856016 — DAVID MILLER RPH
Practice Location Address:

2000 STATE ROAD 60 E
LAKE WALES, FL
33898-5182

Practice Phone: 863-676-9468
Practice Fax: 863-678-3715

1114565785 — PRANAV K PATEL
Practice Location Address:

2000 STATE ROAD 60 E
LAKE WALES, FL
33898-5182

Practice Phone: 863-676-9468
Practice Fax: 863-678-3715

1245328111 — SHANE CONLEY MILLS
Practice Location Address:

267 WHITE OAK RD
LAKE ELSINORE, CA
92530-5182

Practice Phone: 714-834-7861
Practice Fax:

Directions to “ LETITIA T FRY LDO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.