Individual
ERIC J FRIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
431 W BAGLEY RD, BEREA, OH 44017-1351
(440) 891-8338
(440) 891-8959
Mailing address
12685 PIONEER TRAIL DR, NORTH ROYALTON, OH 44133-3756
(440) 230-0821
(440) 230-0821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3856 T053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135027
ANTHEM PHYSICIAN ID
OH
01
—
000000166818
ANTHEM GROUP ID
OH
Enumeration date
05/10/2007
Last updated
07/08/2007
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