Individual provider Active NPI

Marsha Stacy Fried, O.D.

  • Optometrist
  • Huntington Station, NY
National Provider Identifier
1164571675
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005316-1 Issued in NY
Practice address
259 Walt Whitman Rd
Sterling Optical
Huntington Station, NY 11746-4119
Phone
(631) 427-7300
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T005316-1 NY Primary

Addresses

Primary practice location

259 Walt Whitman Rd
Sterling Optical
Huntington Station, NY 11746-4119

Mailing address

21C Hart PL
Dix Hills, NY 11746-6213
Phone (631) 586-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190416001414 NY Practitioner - Optometry 3678814803 Reassigns benefits to 2 organizations
I20210929000064 FL Practitioner - Optometry 3678814803 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T005316-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Eyecare Corp Optometrist CurrentSince Mar 10, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 8, 2021 Accepting new patients
Jamaica Vision Center Corp Optometrist CurrentSince Mar 10, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Sep 8, 2021 Accepting new patients
Swift Eyewear Inc PastSince Mar 10, 2019 Accepting new patients

Locations

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

16413 Jamaica Ave
Jamaica, NY 11432
Phone (347) 419-2575

11702 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 374-3818

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1164571675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21C HART PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466213",
            "telephone_number": "631-586-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 WALT WHITMAN RD",
            "address_2": "STERLING OPTICAL",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464119",
            "telephone_number": "631-427-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "MARSHA",
        "middle_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005316-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.