Jack Fried, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005890-1 Issued in NY

Practice address

64 Middle Neck Rd
Great Neck, NY 11021-2357

Phone

(516) 482-0129

Fax

(516) 829-3126

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, FL, MA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• CVG Optometry, LLC

  • Optometrist
  • Rochester, NY
  • NPI 1194959486
  Medicare reassignment NPD
• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Long Island Vision and Contact Lens Services, Inc.

  • Optometrist
  • Huntington Station, NY
  • NPI 1134892763
  Medicare reassignment NPD
• Vista Vision Optical, Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1700042421
  Medicare reassignment NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment NPD
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets, PA

  • Optometrist
  • Sarasota, FL
  • NPI 1891023289
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Clearwater, FL
  • NPI 1730054594
  NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Boston, MA
  • NPI 1548822315
  NPD

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1952391708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212357",
            "telephone_number": "516-482-0129",
            "fax_number": "516-829-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MIDDLE NECK RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212357",
            "telephone_number": "516-482-0129",
            "fax_number": "516-829-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005890-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3468",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT4060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Eric Freedline, D.D.S.
• Alan M Freedman, MD
• Marilyn Freedman, PT
• Susan Rose Freiman, DC
• Gregory Fried, M.D.
• Maxine Helen Fried, MD
• Steven M. Fried, M.D.
• Staci Beth Friedman-Weiner, PSY.D.
• Ilana Sara Friedman, PH. D.
• Michael Friedman

• Optometrist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.