Active NPI
Steven David Friedman, OD
- Optometrist
- Cornelius, NC
National Provider Identifier
1497745871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 979
- Practice address
- 19900 W Catawba Ave
Cornelius, NC 28031-4032 - Phone
- (704) 892-8282
- Fax
- (704) 973-0028
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0979 | NC | |
| Optometrist | 152W00000X | 979 | NC | Primary |
Addresses
Primary practice location
19900 W Catawba Ave
Cornelius, NC 28031-4032
Mailing address
19900 W Catawba Ave
Cornelius, NC 28031-4032
Phone (704) 892-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5919276 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 979 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Horizon Eye Care PA | Optometrist | Past | Accepting new patients |
| Horizon Eye Care, PA | Optometrist | Past | Accepting new patients |
| Horizon Eye Care PA | Past | Accepting new patients |
Locations
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Charlotte, NC
- NPI 1023183563
-
- Eyewear Supplier
- Charlotte, NC
- NPI 1215130513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1497745871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19900 W CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314032",
"telephone_number": "704-892-8282",
"fax_number": "704-973-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19900 W CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314032",
"telephone_number": "704-892-8282",
"fax_number": "704-973-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "STEVEN",
"middle_name": "DAVID",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0979",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5919276",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.