Organization Active NPI

Friel Prosthetics Inc., Dba Center for Ocular Reconstruction

  • Customized Equipment (DME)
  • Bethesda, MD
National Provider Identifier
1386191104
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
FRIEL PROSTHETICS INC., DBA CENTER FOR OCULAR RECONSTRUCTION
Practice address
4845 Rugby Ave
2ND Floor
Bethesda, MD 20814-3018
Phone
(301) 652-9282
Fax
(301) 652-7585
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Timothy P Friel
Title
President/ Ocularist
Phone
(301) 652-9282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

4845 Rugby Ave
2ND Floor
Bethesda, MD 20814-3018

Mailing address

4845 Rugby Ave
2ND Floor
Bethesda, MD 20814-3018
Phone (301) 652-9282

Other identifiers 1

IdentifierTypeStateIssuer
453204000MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1386191104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 RUGBY AVE",
            "address_2": "2ND FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143018",
            "telephone_number": "301-652-9282",
            "fax_number": "301-652-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 RUGBY AVE",
            "address_2": "2ND FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143018",
            "telephone_number": "301-652-9282",
            "fax_number": "301-652-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEL PROSTHETICS INC., DBA CENTER FOR OCULAR RECONSTRUCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "FRIEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/ OCULARIST",
        "authorized_official_telephone_number": "301-652-9282"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453204000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.