Individual provider Active NPI

Terry Seth Friedman

  • Optometrist
  • Miami, FL
National Provider Identifier
1740350263
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1804 Issued in FL
Practice address
9350 SW 72ND St
Suite 119
Miami, FL 33173-3245
Phone
(305) 274-5070
Fax
(305) 274-2621
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1804 FL Primary

Addresses

Primary practice location

9350 SW 72ND St
Suite 119
Miami, FL 33173-3245

Mailing address

9350 SW 72ND St
Suite 119
Miami, FL 33173-3245
Phone (305) 274-5070

Other identifiers 1

IdentifierTypeStateIssuer
078417600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081106000446 FL Practitioner - Optometry 8527127489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Terry S Friedman PA Optometrist CurrentSince Mar 3, 2009 Accepting new patients

Locations

9350 Sunset Dr
Ste 119
Miami, FL 33173
Phone (305) 274-5070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1740350263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 SW 72ND ST",
            "address_2": "SUITE 119",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733245",
            "telephone_number": "305-274-5070",
            "fax_number": "305-274-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 SW 72ND ST",
            "address_2": "SUITE 119",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733245",
            "telephone_number": "305-274-5070",
            "fax_number": "305-274-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "TERRY",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078417600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.