Russell & Jane Fradkin LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RUSSELL & JANE FRADKIN LLC

Practice address

999 Providence Rd
Whitinsville, MA 01588-2123

Phone

(508) 234-6681

Fax

(508) 234-6507

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Russell FradkinNPI 1114986361

Title

OD Owner

Phone

(508) 234-6681

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Fradkin, OD

  • Optometrist
  • Whitinsville, MA
  • NPI 1114986361
  Medicare reassignment NPD Authorized official
• Jane Orenstein, OD

  • Optometrist
  • Whitinsville, MA
  • NPI 1639138696
  Medicare reassignment NPD
• Jared James Scaramuzzi, O.D.

  • Optometrist
  • Holden, MA
  • NPI 1003298506
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1942356449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882123",
            "telephone_number": "508-234-6681",
            "fax_number": "508-234-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882123",
            "telephone_number": "508-234-6681",
            "fax_number": "508-234-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL & JANE FRADKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "FRADKIN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OD OWNER",
        "authorized_official_telephone_number": "508-234-6681"
    },
    "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": "BC/BS",
            "identifier": "W20190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Pryor
• RB Dental , LLC
• Resilient Growth and Wellness PLLC
• Jessica Ellen Roan, D.C.
• Katherine Rondina
• Lisa Ryan, RN
• Jennifer Ryder
• Raquel R Sabatino, LPN
• Robert Alfred Salvucci
• Marcia A. Samsel-Witkus, LPTA

• Optometrist in Whitinsville, MA
• Providers in Whitinsville, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.

Verify at the official NPI Registry.