Organization Active NPI

Terry S Friedman PA

  • Optometrist
  • Miami, FL
National Provider Identifier
1457562142
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1804 Issued in FL
Legal business name
TERRY S FRIEDMAN PA
Practice address
9350 SW 72ND St
Suite 119
Miami, FL 33173-3245
Phone
(305) 274-5070
Fax
(305) 274-2621
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Terry Seth Friedman, ODNPI 1740350263
Title
President
Phone
(305) 274-5070

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 OPC1804 FL Primary

Addresses

Primary practice location

9350 SW 72ND St
Suite 119
Miami, FL 33173-3245

Mailing address

9350 SW 72ND St
Suite 119
Miami, FL 33173-3245
Phone (305) 274-5070

Other identifiers 1

IdentifierTypeStateIssuer
078417600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090508000398 FL Part B Supplier - Clinic/Group Practice 9739237306 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

9350 Sunset Dr
Ste 119
Miami, FL 33173
Phone (305) 274-5070

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1457562142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SW 72ND ST",
            "address_2": "SUITE 119",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733245",
            "telephone_number": "305-274-5070",
            "fax_number": "305-274-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 SW 72ND ST",
            "address_2": "SUITE 119",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733245",
            "telephone_number": "305-274-5070",
            "fax_number": "305-274-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY S FRIEDMAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-274-5070",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078417600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.