Active NPI
Friedman Optometry, Inc.
- Optometrist
- Culver City, CA
National Provider Identifier
1700409810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- FRIEDMAN OPTOMETRY, INC.
- Practice address
- 10724 Washington Blvd
Culver City, CA 90232-3314 - Phone
- (310) 559-0500
- Fax
- (310) 559-4009
- NPI assigned
- May 22, 2020
- Last updated
- May 22, 2020
- 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
- Stacy Alvarez
- Title
- Billing Manager
- Phone
- (310) 508-0836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
10724 Washington Blvd
Culver City, CA 90232-3314
Mailing address
25317 Doria Ave
Lomita, CA 90717-1721
Phone (310) 508-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285710939 | Other | CA | OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10724 Washington Blvd
Culver City, CA 90232
Phone (310) 559-0500
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Optometrist
- Culver City, CA
- NPI 1033268081
-
- Optometrist
- Culver City, CA
- NPI 1225829609
-
- Optometrist
- Culver City, CA
- NPI 1376683409
-
- Optometrist
- Sherman Oaks, CA
- NPI 1285710939
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1013968783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590105600000",
"number": "1700409810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25317 DORIA AVE",
"city": "LOMITA",
"state": "CA",
"postal_code": "907171721",
"telephone_number": "310-508-0836",
"fax_number": "310-559-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10724 WASHINGTON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902323314",
"telephone_number": "310-559-0500",
"fax_number": "310-559-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIEDMAN OPTOMETRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "310-508-0836"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY",
"identifier": "1285710939",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.