Individual provider Active NPI

Howard Steven Fried, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1558442806
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005749-1 Issued in NY
Practice address
151 W 34TH St
Macy's Vision Express
New York, NY 10001-2101
Phone
(212) 494-7300
Fax
(212) 494-1123
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T005749-1 NY Primary

Addresses

Primary practice location

151 W 34TH St
Macy's Vision Express
New York, NY 10001-2101

Mailing address

5 Old Schoolhouse CT
Roslyn, NY 11576-2183
Phone (917) 913-5731

Other identifiers 1

IdentifierTypeStateIssuer
01708561MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000189 NY Practitioner - Optometry 6608912753 Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T005749-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Macy's Vision Express Optometrist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558442806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OLD SCHOOLHOUSE CT",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762183",
            "telephone_number": "917-913-5731",
            "fax_number": "516-621-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 34TH ST",
            "address_2": "MACY'S VISION EXPRESS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012101",
            "telephone_number": "212-494-7300",
            "fax_number": "212-494-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "HOWARD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005749-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01708561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.