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DR. EDWARD S FRIEDMAN OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1497738512

Individual Registrant:
DR. EDWARD S FRIEDMAN OD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6067 N RIDGE RD  MADISON, OH 44057-2441 US
Tel: 440-725-1542  Fax: 440-417-0108

Contact information for business:
6067 N RIDGE RD  MADISON, OH 44057-2441 US
Tel: 440-725-1542  Fax: 440-417-0108

Registration Information:
NPI: 1497738512
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
OH2621

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0134349OH05
MEDICARE PIN791870057OH01




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