Active NPI
Manfred A Vonfricken, M.D.
- Ophthalmology Physician
- Fairfax, VA
National Provider Identifier
1457311839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101032050
- Practice address
- 8505 Arlington Blvd
Suite 300
Fairfax, VA 22031-4621 - Phone
- (703) 698-9335
- Fax
- (703) 207-0038
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0021492 | MD | |
| Ophthalmology Physician | 207W00000X | 0101032050 | VA | Primary |
| Ophthalmology Physician | 207W00000X | MD12609 | DC |
Addresses
Primary practice location
8505 Arlington Blvd
Suite 300
Fairfax, VA 22031-4621
Mailing address
7501 Greenway Center Dr
Suite 300
Greenbelt, MD 20770-3514
Phone (301) 474-4679
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006392423 | Medicaid | VA | |
| 006306837 | Medicaid | VA | |
| 477441800 | Medicaid | MD | |
| 024861600 | Medicaid | DC |
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": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1457311839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 GREENWAY CENTER DR",
"address_2": "SUITE 300",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703514",
"telephone_number": "301-474-4679",
"fax_number": "301-474-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 ARLINGTON BLVD",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314621",
"telephone_number": "703-698-9335",
"fax_number": "703-207-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONFRICKEN",
"first_name": "MANFRED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0021492",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101032050",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DC",
"license": "MD12609",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006392423",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006306837",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "477441800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024861600",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.