Active NPI
Jennifer Friedman OD PC
- Optometrist
- Danbury, CT
National Provider Identifier
1962717678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007411
- Legal business name
- JENNIFER FRIEDMAN OD PC
- Practice address
- 7 Backus Ave
Danbury Fair Mall
Danbury, CT 06810-7422 - Phone
- (203) 790-1341
- Fax
- (203) 790-5052
- NPI assigned
- Aug 18, 2010
- 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
- Jennifer Friedman, OD
- Title
- Owner
- Phone
- (212) 729-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007411 | NY | Primary |
Addresses
Primary practice location
7 Backus Ave
Danbury Fair Mall
Danbury, CT 06810-7422
Mailing address
75 Wall St
New York, NY 10005-2833
Phone (212) 729-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03225638 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
75 Wall St
New York, NY 10005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282089600000",
"number": "1962717678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WALL ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052833",
"telephone_number": "212-729-5300",
"fax_number": "212-729-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 BACKUS AVE",
"address_2": "DANBURY FAIR MALL",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107422",
"telephone_number": "203-790-1341",
"fax_number": "203-790-5052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER FRIEDMAN OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-729-5300",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03225638",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.