# JEROME D. FRIEDMAN, O.D. L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851752927
- **Authorized official:** DR. JEROME D. FRIEDMAN O.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (954) 432-5822

## Contact information

- **Practice address:** 17019 PINES BLVD, PEMBROKE PINES, FL 33027-1003
- **Practice address phone:** (954) 432-5822
- **Mailing address:** 17019 PINES BLVD, PEMBROKE PINES, FL 33027-1003
- **Mailing address phone:** (954) 432-5822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | — |
| 152WP0200X | Pediatric Optometrist | — | NULL | — |
| 152WP0200X | Pediatric Optometrist | — | — | — |
| 152WS0006X | Sports Vision Optometrist | — | NULL | — |
| 152WS0006X | Sports Vision Optometrist | — | — | — |
| 152WV0400X | Vision Therapy Optometrist | — | NULL | — |
| 152WV0400X | Vision Therapy Optometrist | — | — | — |
| 152WX0102X | Occupational Vision Optometrist | — | NULL | — |
| 152WX0102X | Occupational Vision Optometrist | — | — | — |

## Other

- **Enumeration date:** 03/16/2016
- **Last updated:** 03/16/2016