Jack Fried (NPI# 1952391708, PAC ID# 6406920404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1952391708 |
| PAC ID by PECOS | 6406920404 |
| Professional Enrollment ID | I20080809000054 |
| Full Name | Jack Fried |
| Organization Legal Name | VISTA VISION OPTICAL INC |
| Address |
46 Middle Neck Rd Great Neck NY 11021-2357 |
| Phone Number | 5164878866 |
| Gender | M |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 1997 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3971623729 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 337 Knickerbocker Ave, Brooklyn, NY 11237-8051 | 7184562834 | VISTA VISION OPTICAL INC |
| 46 Middle Neck Rd, Great Neck, NY 11021-2357 | 5164878866 | VISTA VISION OPTICAL INC |
| 160 Walt Whitman Rd, Suite A, Huntington Station, NY 11746-4113 | 6313515355 | BRIAN K BERLINER OD PC |
| 3270 Middle Country Rd, Lake Grove, NY 11755-2237 | 6317374411 | BRIAN K BERLINER OD PC |
| Organization Legal Name | VISTA VISION OPTICAL INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Nathanson | Optometry | Vista Vision Optical Inc | 337 Knickerbocker Ave, Brooklyn, NY 11237-8051 |
| Street Address |
46 MIDDLE NECK RD |
| City | GREAT NECK |
| State | NY |
| Zip | 11021-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor J Defazio | Psychologist, Clinical | 10 Grave Ave, Suite 9, Great Neck, NY 11021 | |
| Philip M Ninan | Psychiatry | 935 Northern Boulevard, Suite 102, Great Neck, NY 11021 | |
| Jerelyn R Marcus | Optometry | 93 Bayview Ave, Great Neck, NY 11021-1015 | |
| Daniel Aryeh | Physical Therapy | 200 Middle Neck Rd, Suite H, Great Neck, NY 11021-1107 | |
| Helen Beegel | Clinical Social Worker | 160 Middle Neck Rd, Apt 3b, Great Neck, NY 11021-1207 | |
| Rosalie L Feder | Clinical Social Worker | 134 Middleneck Rd, Great Neck, NY 11021-1224 | |
| Mitchell Siegel | Podiatry | 32 Maple Dr, Great Neck, NY 11021-1240 | |
| Eleonora Tamayeva | Optometry | Great Neck Optometrist PC | 146 Middle Neck Rd, Great Neck, NY 11021-1246 |
| Kioomars Moosazadeh | Physical Medicine and Rehabilitation | 140 Middle Neck Rd, Great Neck, NY 11021-1246 | |
| Ebrahim Sadighim | Internal Medicine | 138 Middle Neck Rd, Great Neck, NY 11021-1246 | |
| Find all physicians in zip 11021 | |||
| City | GREAT NECK |
| Zip Code | 11021 |
| Specialty | OPTOMETRY |
| City + Specialty | GREAT NECK + OPTOMETRY |
Please comment or provide details below to improve the information on Jack Fried.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.