Stephen William Friedman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA45100 Issued in NJ

Practice address

5917 Bergenline Ave
West New York, NJ 07093-1306

Phone

(201) 854-4110

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lens Lab Express of 5917 Bergenline

  • Optometrist
  • West New York, NJ
  • NPI 1023643079
  NPD (past)
• Lens Lab Express of West New York,Inc.

  • Optician
  • West New York, NJ
  • NPI 1316080252
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952463994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MAIN ST",
            "address_2": "SUITE 23",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076431543",
            "telephone_number": "201-994-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931306",
            "telephone_number": "201-854-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA45100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Arthur Forszt Jr., O.D.
• Bessie Bibiana Fouces, DMD
• Paul Andrew Fourounjian, DMD
• Velma Asneth Frasier, MSN,RN,APN-BC
• Emily Fried, BCBA
• Natalya V Fryazin
• Hemanshi D Gala, OTR/L
• Galas Therapy LLC
• Olga Maria Garces Naranjo, RN
• Janisley Garcia Martinez, DMD

• Optometrist in West New York, NJ
• Providers in West New York, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.