Organization Active NPI

Nathan Freed OD, PA

  • Optometrist
  • Secaucus, NJ
National Provider Identifier
1215181748
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA005236 Issued in NJ
Legal business name
NATHAN FREED OD, PA
Practice address
1301 Paterson Plank Rd
Secaucus, NJ 07094-3707
Phone
(201) 864-2965
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Randi A Freed, ODNPI 1013999861
Title
Pres
Phone
(201) 864-2965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OA005236 NJ Primary

Addresses

Primary practice location

1301 Paterson Plank Rd
Secaucus, NJ 07094-3707

Mailing address

1301 Paterson Plank Rd
Secaucus, NJ 07094-3707
Phone (201) 864-2965

Other names 1

  • Freed Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000202 NJ Part B Supplier - Clinic/Group Practice 2668522921 Receives reassigned benefits from 2 practitioners
Practice locations: Secaucus, NJ

National Provider Directory

National Provider Directory

Locations

1301 Paterson Plank Rd
Secaucus, NJ 07094
Phone (201) 864-2965

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1215181748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943707",
            "telephone_number": "201-864-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943707",
            "telephone_number": "201-864-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN FREED OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "201-864-2965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA005236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freed Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.