Fried, Jack
Fried, Jack is an sole proprietor health care provider with primary practice located at 64 Middle Neck Rd , Great Neck NY 11021-2357. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fried, Jack can be contacted via phone (516) 482-0129.Contact Information
Primary practice address
64 Middle Neck Rd
Great Neck NY 11021-2357
Phone: (516) 482-0129
Fax: (516) 829-3126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005890-1 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3468 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT4060 | Massachusetts |
Profile Details
| NPI number | 1952391708 |
|---|---|
| LBN Legal business name | Fried, Jack |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jan 9th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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