Provider Demographics
NPI:1205381688
Name:FRIEDRICHS FAMILY EYE CENTER PC
Entity Type:Organization
Organization Name:FRIEDRICHS FAMILY EYE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GRAY
Authorized Official - Middle Name:W
Authorized Official - Last Name:FRIEDRICHS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:276-647-3937
Mailing Address - Street 1:1975 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-8388
Mailing Address - Country:US
Mailing Address - Phone:276-647-3937
Mailing Address - Fax:886-441-3601
Practice Address - Street 1:123 DEER RUN RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2863
Practice Address - Country:US
Practice Address - Phone:434-793-6912
Practice Address - Fax:434-799-8641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty