Organization Active NPI

Friedrichs Family Eye Center PC

Doing business as Friedrichs Family Eye Center Optometry

  • Optometrist
  • Martinsville, VA
National Provider Identifier
1114939378
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000917 Issued in VA
Legal business name
FRIEDRICHS FAMILY EYE CENTER PC
Doing business as
Friedrichs Family Eye Center Optometry
Practice address
1975 Virginia Ave
Martinsville, VA 24112-8388
Phone
(276) 647-3937
NPI assigned
Aug 13, 2006
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gray W. Friedrichs, O.D.NPI 1174526008
Title
Owner
Phone
(276) 647-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000917 VA Primary
Optometrist 152W00000X 0618001415 VA
Optometrist 152W00000X 0618001335 VA

Addresses

Primary practice location

1975 Virginia Ave
Martinsville, VA 24112-8388

Mailing address

1975 Virginia Ave
Martinsville, VA 24112-8388
Phone (276) 647-3937

Other identifiers 7

IdentifierTypeStateIssuer
010108641MedicaidVA
1568515666OtherNPI - DR. HARPIN
010070155MedicaidVA
1093800781OtherVACHRISTAIN NPI
1174526008OtherVADR. FRIEDRICHS' NPI
010063272MedicaidVA
1114928934OtherVADR. BUTTERWORTH'S NPI

Other names 1

  • Friedrichs Family Eye Center Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714000007 VA Part B Supplier - Clinic/Group Practice 0749268837 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
Practice locations: Chatham, VA; Danville, VA; Martinsville, VA; Rocky Mount, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Friedrichs Family Eye Center PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1114939378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 VIRGINIA AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128388",
            "telephone_number": "276-647-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 VIRGINIA AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128388",
            "telephone_number": "276-647-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDRICHS FAMILY EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICHS",
        "authorized_official_first_name": "GRAY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-647-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000917",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001415",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010108641",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DR. HARPIN",
            "identifier": "1568515666",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010070155",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTAIN NPI",
            "identifier": "1093800781",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. FRIEDRICHS' NPI",
            "identifier": "1174526008",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010063272",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BUTTERWORTH'S NPI",
            "identifier": "1114928934",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friedrichs Family Eye Center Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.