Provider Demographics
NPI:1891844692
Name:FRIEDLAND, STEVEN M (OD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:FRIEDLAND
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 1:1250 OLD COUNTRY RD
Mailing Address - Street 2:COSTCO OPTICAL
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5624
Mailing Address - Country:US
Mailing Address - Phone:516-683-8300
Mailing Address - Fax:
Practice Address - Street 1:1250 OLD COUNTRY RD
Practice Address - Street 2:COSTCO OPTICAL
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5624
Practice Address - Country:US
Practice Address - Phone:516-683-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005109-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist