Provider Demographics
NPI:1376523100
Name:FRIEDMAN, BARRY S (OD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:S
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 PLEASANT ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-1280
Mailing Address - Country:US
Mailing Address - Phone:781-878-6962
Mailing Address - Fax:781-878-7131
Practice Address - Street 1:265 PLEASANT ST
Practice Address - Street 2:UNIT 2
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-1280
Practice Address - Country:US
Practice Address - Phone:781-878-6962
Practice Address - Fax:781-878-7131
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2274152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0031474OtherNHP
MA15285OtherHPHC
MA2573962OtherAETNA
MA0305707Medicaid
MA2200914OtherUNHC
MA718989OtherTUFTS
MAW15782OtherBCBS
MA0031474OtherNHP
MA0305707Medicaid
MA2573962OtherAETNA