Organization Active NPI

Charles D. Fritch, M.D., Inc.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1619257052
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SD0116921 Issued in CA
Legal business name
CHARLES D. FRITCH, M.D., INC.
Practice address
9500 Brimhall Rd
703
Bakersfield, CA 93312-2241
Phone
(661) 829-6993
Fax
(661) 829-6995
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mrs. Laura Marie Peralta
Title
Billing Supervisor
Phone
(661) 665-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X SD0116921 CA Primary

Addresses

Primary practice location

9500 Brimhall Rd
703
Bakersfield, CA 93312-2241

Mailing address

9500 Brimhall Rd
703
Bakersfield, CA 93312-2241
Phone (661) 829-6993

Other names 1

  • Brimhall Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

9500 Brimhall Rd
Ste 703
Bakersfield, CA 93312
Phone (661) 829-6993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1619257052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BRIMHALL RD",
            "address_2": "703",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122241",
            "telephone_number": "661-829-6993",
            "fax_number": "661-829-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BRIMHALL RD",
            "address_2": "703",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122241",
            "telephone_number": "661-829-6993",
            "fax_number": "661-829-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. FRITCH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "661-665-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "SD0116921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brimhall Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.