Marilyn Brenda Freidkin, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1101001153 Issued in VA

Practice address

9812 Falls Rd
Potomac, MD 20854-3976

Phone

(301) 299-6513

Fax

(301) 299-0419

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1265619175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 PINEY GLEN LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541414",
            "telephone_number": "301-257-9252",
            "fax_number": "301-983-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9812 FALLS RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543976",
            "telephone_number": "301-299-6513",
            "fax_number": "301-299-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIDKIN",
        "first_name": "MARILYN",
        "middle_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101001153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1101001153",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optician in Potomac, MD
• Providers in Potomac, MD by specialty
• Optician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.