Organization Active NPI

Friden Optometry Inc a Professional Corporation

  • Optometrist
  • Quincy, CA
National Provider Identifier
1972781565
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13301 Issued in CA
Legal business name
FRIDEN OPTOMETRY INC A PROFESSIONAL CORPORATION
Practice address
68 Central Ave
Ste C
Quincy, CA 95971-9718
Phone
(530) 283-2020
NPI assigned
Feb 5, 2008
Last updated
Jul 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Dr. Jonathan Charles Friden, O.D.NPI 1275731655
Title
Optometrist
Phone
(530) 283-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13301 CA Primary

Addresses

Primary practice location

68 Central Ave
Ste C
Quincy, CA 95971-9718

Mailing address

68 Central Ave
Ste C
Quincy, CA 95971-9718
Phone (530) 283-2020

Other identifiers 1

IdentifierTypeStateIssuer
2643038MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000233 CA Part B Supplier - Clinic/Group Practice 9032298765 Receives reassigned benefits from 1 practitioner
Practice locations: Quincy, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1972781565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CENTRAL AVE",
            "address_2": "STE C",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CENTRAL AVE",
            "address_2": "STE C",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719718",
            "telephone_number": "530-283-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDEN OPTOMETRY INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "FRIDEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "530-283-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2643038",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.