NPIMap

Organization Active NPI

Friedrichs Family Eye Center PC

  • Optometrist
  • Rocky Mount, VA
National Provider Identifier
1285278754
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FRIEDRICHS FAMILY EYE CENTER PC
Practice address
395 S Main St
Rocky Mount, VA 24151-1710
Phone
(540) 483-0284
Fax
(540) 483-9680
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Gray W. Friedrichs, ODNPI 1174526008
Title
President
Phone
(276) 647-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

395 S Main St
Rocky Mount, VA 24151-1710

Mailing address

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

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
This NPI is an additional NPI on the 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.

Locations

822 Commonwealth Blvd
Martinsville, VA 24112
Phone (276) 656-3937

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": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1285278754",
    "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",
            "fax_number": "276-647-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S MAIN ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511710",
            "telephone_number": "540-483-0284",
            "fax_number": "540-483-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDRICHS FAMILY EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICHS",
        "authorized_official_first_name": "GRAY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-647-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.