Active NPI
Nathan Freed OD, PA
- Optometrist
- Secaucus, NJ
National Provider Identifier
1215181748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA005236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randi A Freed, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090608000202 | NJ | Part B Supplier - Clinic/Group Practice | 2668522921 |
Receives reassigned benefits from 2 practitioners Practice locations: Secaucus, NJ |
National Provider Directory
National Provider DirectoryLocations
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.