Organization
JACK FRIED, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK FRIED O.D. (PRESIDENT)
(516) 482-0129
Entity
Organization
Contact information
Practice address
64 MIDDLE NECK RD, GREAT NECK, NY 11021-2357
(516) 482-0129
(516) 829-3126
Mailing address
64 MIDDLE NECK RD, GREAT NECK, NY 11021-2357
(516) 482-0129
(516) 829-3126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5890
NY
152WC0802X
Corneal and Contact Management Optometrist
5890
NY
Other
Enumeration date
06/06/2008
Last updated
04/27/2010
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