Active NPI
Friedman Eye Care OD PLLC
- Optometrist
- Cornelius, NC
National Provider Identifier
1629355268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 979
- Legal business name
- FRIEDMAN EYE CARE OD PLLC
- Practice address
- 19900 W Catawba Ave
Cornelius, NC 28031-4032 - Phone
- (704) 892-8282
- NPI assigned
- Nov 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven David Friedman, OD
- Title
- Owner
- Phone
- (704) 892-8282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346716800000",
"number": "1629355268",
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIEDMAN EYE CARE OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-10",
"last_updated": "2012-09-04",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-892-8282",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY 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 Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.