Jack Fried, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5890 Issued in NY

Legal business name

JACK FRIED, OD, PC

Practice address

64 Middle Neck Rd
Great Neck, NY 11021-2357

Phone

(516) 482-0129

Fax

(516) 829-3126

NPI assigned

Jun 6, 2008

Last updated

Apr 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Fried, O.D.NPI 1952391708

Title

President

Phone

(516) 482-0129

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Fried, O.D.

  • Optometrist
  • Great Neck, NY
  • NPI 1952391708
  Authorized official Same address or phone

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1467611228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212357",
            "telephone_number": "516-482-0129",
            "fax_number": "516-829-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212357",
            "telephone_number": "516-482-0129",
            "fax_number": "516-829-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK FRIED, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-482-0129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "5890",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "5890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabelle Hakim LCSW PLLC
• J and J Home Care Services LLC
• J. R. Udarbe MD P.C.
• Bibi Zubyda Jabar, PTA
• Jed Jabiguero
• Jacob Gohari, MD PLLC
• Mitchel Jacobs, MD
• Daniel R Jacobsen, MS, FNP-BC
• Susan Jacobson
• Matthew David Jacofsky, PSY.D.

• Optometrist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.