Organization Active NPI

Dr. Rachel Fried, Optometrist, P.C.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1104235399
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008034 Issued in NY
Legal business name
DR. RACHEL FRIED, OPTOMETRIST, P.C.
Practice address
1571 Kimball St
Brooklyn, NY 11234-3503
Phone
(917) 805-4797
Fax
(347) 640-3076
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Rachel Fried, O.D.
Title
President/Optometrist
Phone
(917) 805-4797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV008034 NY Primary

Addresses

Primary practice location

1571 Kimball St
Brooklyn, NY 11234-3503

Mailing address

1571 Kimball St
Brooklyn, NY 11234-3503
Phone (917) 805-4797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1104235399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 KIMBALL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343503",
            "telephone_number": "917-805-4797",
            "fax_number": "347-640-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 KIMBALL ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343503",
            "telephone_number": "917-805-4797",
            "fax_number": "347-640-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RACHEL FRIED, OPTOMETRIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "917-805-4797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.