Active NPI
Jerome D. Friedman, O.D. L.L.C.
- Optometrist
- Pembroke Pines, FL
National Provider Identifier
1851752927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JEROME D. FRIEDMAN, O.D. L.L.C.
- Practice address
- 17019 Pines Blvd
Pembroke Pines, FL 33027-1003 - Phone
- (954) 432-5822
- NPI assigned
- Mar 16, 2016
- 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
- Dr. Jerome D. Friedman, O.D.
- Title
- Sole Proprietor
- Phone
- (954) 432-5822
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Low Vision Rehabilitation Optometrist | 152WL0500X | |||
| Pediatric Optometrist | 152WP0200X | |||
| Sports Vision Optometrist | 152WS0006X | |||
| Vision Therapy Optometrist | 152WV0400X | |||
| Occupational Vision Optometrist | 152WX0102X |
Addresses
Primary practice location
17019 Pines Blvd
Pembroke Pines, FL 33027-1003
Mailing address
17019 Pines Blvd
Pembroke Pines, FL 33027-1003
Phone (954) 432-5822
National Provider Directory
National Provider DirectoryLocations
17019 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 432-5822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458086400000",
"number": "1851752927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17019 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271003",
"telephone_number": "954-432-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17019 PINES BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271003",
"telephone_number": "954-432-5822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME D. FRIEDMAN, O.D. L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "JEROME",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "954-432-5822",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.