John Daniel Friederich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2008017083 Issued in MO

Practice address

12121 Tesson Ferry Professional Ctr
Saint Louis, MO 63128-1250

Phone

(314) 843-5700

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Consultants IncGroup PAC ID 9335239169, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vision Care Consultants Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1336321637
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1871755280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-843-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 TESSON FERRY PROFESSIONAL CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281250",
            "telephone_number": "314-843-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDERICH",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Arthur Frick, CPO
• William Harry Frick, MD
• Rachel Marie Fricker, FNP
• Michelle Diane Fricks, M.S. SLP-CCC
• Kristen M Friedel, P.T.
• Molly Anne Friederich
• Mark David Friedland, MD
• Daniel David Friedman, MD
• Gabriel Nathan Friedman, MD
• Helen R. Friedman, PH.D.

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.