Organization Active NPI

Friel Prosthetics, Inc.

  • Customized Equipment (DME)
  • Bethesda, MD
National Provider Identifier
1801072426
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
FRIEL PROSTHETICS, INC.
Practice address
4845 Rugby Ave
2ND Floor
Bethesda, MD 20814-3018
Phone
(301) 652-9282
Fax
(301) 652-7585
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Timothy P Friel
Title
Owner
Phone
(301) 652-9282

Specialties & licenses 1

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

Other names 1

  • The Center for Ocular Reconstruction Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930063869 MD DME Supplier - Ocularist 9537287248 Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1801072426",
    "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.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "FRIEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-652-9282"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453204000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Ocular Reconstruction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 31, 2016; 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.