Individual provider Active NPI

Steven Friefeld, O.D.

  • Optometrist
  • Coral Springs, FL
National Provider Identifier
1053492009
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2515 Issued in FL
Practice address
4180 N State Road 7
Coral Springs, FL 33073-3801
Phone
(954) 227-9317
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2515 FL Primary

Addresses

Primary practice location

4180 N State Road 7
Coral Springs, FL 33073-3801

Mailing address

4468 NW 29TH Way
Boca Raton, FL 33434-5806
Phone (305) 710-7233

Other identifiers 1

IdentifierTypeStateIssuer
6213MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000828 FL Practitioner - Optometry 8729031901 Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2515FLMDOptometrist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Visionworks, Inc PastSince Feb 13, 2022 Accepting new patients
Visionworks, Inc PastSince Feb 13, 2022 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1053492009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 NW 29TH WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345806",
            "telephone_number": "305-710-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 N STATE ROAD 7",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330733801",
            "telephone_number": "954-227-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEFELD",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6213",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.