Organization Active NPI

Dr. Eric'S Total Vision Care

  • Optometrist
  • Berea, OH
National Provider Identifier
1255460838
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3856 T053 Issued in OH
Legal business name
DR. ERIC'S TOTAL VISION CARE
Practice address
431 W Bagley Rd
Berea, OH 44017-1351
Phone
(440) 891-8338
Fax
(440) 891-8959
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Eric J Friedrich, O.D.
Title
Board Licensed Optometrist
Phone
(440) 891-8338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3856 T053 OH Primary

Addresses

Primary practice location

431 W Bagley Rd
Berea, OH 44017-1351

Mailing address

431 W Bagley Rd
Berea, OH 44017-1351
Phone (440) 891-8338

Other identifiers 1

IdentifierTypeStateIssuer
135027OtherOHANTHEM BC BS

National Provider Directory

National Provider Directory

Locations

431 W Bagley Rd
Berea, OH 44017
Phone (440) 891-8338

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1255460838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171351",
            "telephone_number": "440-891-8338",
            "fax_number": "440-891-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171351",
            "telephone_number": "440-891-8338",
            "fax_number": "440-891-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERIC'S TOTAL VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD LICENSED OPTOMETRIST",
        "authorized_official_telephone_number": "440-891-8338",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3856 T053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "135027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.