Friedrichs Family Eye Center PC
Organization Active NPI Optometrist · Chatham, VA
NPI 1285647891 · NPPES record last updated May 11, 2015
Key facts
- NPI
- 1285647891
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618000917 (VA)
- Legal business name
- FRIEDRICHS FAMILY EYE CENTER PC
- Practice address
- 32 North Main Street
Chatham, VA 24531-0943 - Phone
- (434) 432-1500
- Fax
- (434) 432-1500
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gray W. Friedrichs, O.D.
- Title
- Owner
- Phone
- (434) 432-1500
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Practitioners 3
-
Gray W. Friedrichs, O.D.
-
Mary Kathryn P F Zak, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Friedrichs Family Eye Center PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0618000917 | VA | Yes |
| Optometrist |
152W00000X | 0618001415 | VA | |
| Optometrist |
152W00000X | 0618001335 | VA |
Addresses
Primary practice location
32 North Main Street
Chatham, VA 24531-0943
Mailing address
PO Box 943
Chatham, VA 24531-0943
Phone (434) 432-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174526008 | Other | VA | DR. FRIEDRICHS'S NPI |
| 010063272 | Medicaid | VA | |
| 1114928934 | Other | VA | DR. BUTTERWORTH'S NPI |
| 1568515666 | Other | NPI DR. HARPIN | |
| 010070155 | Medicaid | VA | |
| 010108641 | Medicaid | VA | |
| 1093800781 | Other | VA | CHRISTIAN NPI |
Other names
- Friedrichs Family Eye Center Optometry
Other providers in Chatham, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.