Active NPIIndividual provider

Russell Fradkin, OD

Optometrist in Whitinsville, Massachusetts

NPI Number1114986361
Practice location
999 Providence RD, Whitinsville, MA 01588
Fax
508-234-6507
Last updated
March 24, 2009

Russell Fradkin is an Optometrist based in Whitinsville, MA. Russell Fradkin practices in Whitinsville, MA and has the professional credentials of OD. The NPI Number for Russell Fradkin is 1114986361 and holds a License No. 2699 (MA). The current practice location address for Russell Fradkin is 999 Providence RD, Whitinsville, MA 01588 and can be reached out via phone at 508-234-6681 and via fax at 508-234-6507.

Provider Profile Details

NPI Number
1114986361
Provider Name
Russell Fradkin
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
999 Providence RD, Whitinsville, MA 01588
Phone Number
508-234-6681
Fax Number
508-234-6507
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2006
Last Update Date
March 24, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
999 Providence RD
Whitinsville, MA 01588
Zip
01588
Phone Number
508-234-6681
Fax Number
508-234-6507
Whitinsville, MA 01588Get directions →

Provider Business Mailing Address Details

Address
999 Providence RD
Whitinsville, MA 01588
City
Whitinsville
State
MA
Zip
01588
Phone Number
508-234-6681
Fax Number
508-234-6507

License Information

License Number
2699
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Russell Fradkin, OD?

The NPI number of Russell Fradkin, OD is 1114986361. It was assigned on March 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Russell Fradkin, OD?

Russell Fradkin, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2699.

Where does Russell Fradkin, OD practice?

The practice location is 999 Providence RD, Whitinsville, MA 01588. The office can be reached at 508-234-6681 (phone) or 508-234-6507 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114986361 directly on the NPPES registry website.

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