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General NPI Number Information
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NPI Number | 1114939378
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Entity Type | Organization
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Legal Business Name | FRIEDRICHS FAMILY EYE CENTER PC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 1975 VIRGINIA AVE
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City | MARTINSVILLE
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State | VA
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Zip | 24112-8388
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Country | US
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Telephone | 276-647-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 VIRGINIA AVE
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City | MARTINSVILLE
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State | VA
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Zip | 24112-8388
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Country | US
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Telephone | 276-647-3937
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GRAY W. FRIEDRICHS
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Credential | O.D.
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Telephone | 276-647-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001415
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001335
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000917
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License Number State | VA
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