Active NPI
Melina Friedman, O.D.
- Optometrist
- Smyrna, GA
National Provider Identifier
1194879304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002591
- Practice address
- 3830 S Cobb Dr SE
Suite 125
Smyrna, GA 30080-5532 - Phone
- (770) 432-7280
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002591 | GA | Primary |
Addresses
Primary practice location
3830 S Cobb Dr SE
Suite 125
Smyrna, GA 30080-5532
Mailing address
4260 Carmain Dr NE
Atlanta, GA 30342-3504
Phone (949) 322-5973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0111310 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002591 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1194879304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4260 CARMAIN DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423504",
"telephone_number": "949-322-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 S COBB DR SE",
"address_2": "SUITE 125",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300805532",
"telephone_number": "770-432-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "MELINA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "002591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0111310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.