National Provider Identifier Database

RUSSELL FRADKIN, OD – NPI #1114986361
Optometrist

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.


Contact Information

RUSSELL FRADKIN, OD
999 PROVIDENCE RD
WHITINSVILLE, MA01588
Phone: 508-234-6681
Fax: 508-234-6507
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for RUSSELL FRADKIN

NPI Number 1114986361
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/17/2006
Last updated 03/24/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 2699
  • MA Medicaid: 0333913
  • Other: 6000000019 HARVARD PILGRIM HEALTHCAR
  • MA Other: W15622 BLUE CROSS OF MASS
  • MA Other: W20190 BLUE CROSS OF MASS
  • MA Other: 725524 TUFTS HEALTH PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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