Provider Demographics
NPI:1285647891
Name:FRIEDRICHS FAMILY EYE CENTER PC
Entity Type:Organization
Organization Name:FRIEDRICHS FAMILY EYE CENTER PC
Other - Org Name:FRIEDRICHS FAMILY EYE CENTER OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
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:434-432-1500
Mailing Address - Street 1:PO BOX 943
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-0943
Mailing Address - Country:US
Mailing Address - Phone:434-432-1500
Mailing Address - Fax:434-432-1500
Practice Address - Street 1:32 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-0943
Practice Address - Country:US
Practice Address - Phone:434-432-1500
Practice Address - Fax:434-432-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000917152W00000X
VA0618001415152W00000X
VA0618001335152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1174526008OtherDR. FRIEDRICHS'S NPI
VA010063272Medicaid
VA1114928934OtherDR. BUTTERWORTH'S NPI
1568515666OtherNPI DR. HARPIN
VA010070155Medicaid
VA010108641Medicaid
VA1093800781OtherCHRISTIAN NPI
VA010070155Medicaid
VAV00680Medicare UPIN
VA010063272Medicaid
C06500Medicare PIN
VA1093800781OtherCHRISTIAN NPI
VA1174526008OtherDR. FRIEDRICHS'S NPI