Active NPI
Eric G Friedman, M.D.
- Ophthalmology Physician
- Valparaiso, IN
National Provider Identifier
1164620530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01028202
- Practice address
- 552 W Lincolnway
Valparaiso, IN 46385-5531 - Phone
- (219) 464-3937
- Fax
- (219) 462-1534
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01028202 | IN | Primary |
Addresses
Primary practice location
552 W Lincolnway
Valparaiso, IN 46385-5531
Mailing address
552 W Lincolnway
Valparaiso, IN 46385-5531
Phone (219) 464-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100208400A | Medicaid | IN | |
| 000000102346 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1164620530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 W LINCOLNWAY",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463855531",
"telephone_number": "219-464-3937",
"fax_number": "219-462-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 W LINCOLNWAY",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463855531",
"telephone_number": "219-464-3937",
"fax_number": "219-462-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "ERIC",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01028202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100208400A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000102346",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.