DR. JACK FRIED O.D.
NPI 1952391708
Optometrist in Great Neck, NY

Active since October 24, 2005PECOS Enrolled
64 MIDDLE NECK RD, GREAT NECK, NY 11021(516) 482-0129(516) 829-3126 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jack Fried O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK FRIED O.D. (NPI 1952391708) is an individual optometrist in Great Neck, New York, licensed in New York (TUV005890-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952391708
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACK FRIEDCredential: O.D.
Location Address64 MIDDLE NECK RDGreat Neck, NY 11021-2357
Mailing Address64 Middle Neck RdGreat Neck, NY 11021-2357 · (516) 482-0129 · Fax (516) 829-3126
Fax(516) 829-3126
Sole ProprietorYes
Enumeration DateOctober 24, 2005
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1952391708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NY · TUV005890-1✔ Licensed in FL · OPC3468✔ Licensed in MA · OPT4060
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
64 MIDDLE NECK RD, Great Neck, NY 11021

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Fried O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Jack Fried reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
337 KNICKERBOCKER AVE
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Optometrist
160 WALT WHITMAN RD STE 1021B
Huntington Station, NY 11746
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Optometrist
453 E MAIN ST
Westfield, MA 01085
  • Reassigned Medicare billing, Massachusetts enrollment
  • 112 clinicians in this Medicare group
Optometrist
2921 ERIE BLVD E
Syracuse, NY 13224
  • Reassigned Medicare billing, New York enrollment
  • 243 clinicians in this Medicare group
Optometrist
3171 CHILI AVE, SUITE 100
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
Optometrist
4000 LUXOTTICA PL, ATTN MEDICARE DEPT
Mason, OH 45040
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
Optometrist
13170 ATLANTIC BLVD, #53
Jacksonville, FL 32225
  • Reassigned Medicare billing, Florida enrollment
  • 322 clinicians in this Medicare group
Optometrist
3324 W UNIVERSITY AVE
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
68 services68 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
24 services22 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
64 MIDDLE NECK RD
GREAT NECK, NY 11021
Optometrist
64 MIDDLE NECK RD
GREAT NECK, NY 11021
Optometrist
64 MIDDLE NECK RD
GREAT NECK, NY 11021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Fried's NPI number?

The NPI number for Jack Fried is 1952391708. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Jack Fried located?

Jack Fried practices at 64 Middle Neck Rd, Great Neck, NY 11021. The listed phone number is (516) 482-0129.

What is Jack Fried's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jack Fried enrolled in Medicare?

Yes. Jack Fried is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Fried's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Fried reassigns Medicare benefits to 8 organizations: Vista Vision Optical, Inc (Brooklyn, NY), Long Island Vision And Contact Lens Services, Inc. (Huntington Station, NY), Myeyedr Optometry Of Massachusetts P C (Westfield, MA), Empire Vision Center Inc (Syracuse, NY), Cvg Optometry, LLC (Rochester, NY) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Fried's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Fried accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Superior HealthPlan, Ambetter of Alabama and AmeriHealth Caritas Next and 18 other insurers list Jack Fried as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Fried was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.