DR. BRANDON JAY FRIEDMAN (NPI# 1619288115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619288115 |
| Entity Type | Individual |
| Full Name | DR. BRANDON JAY FRIEDMAN |
| Credential | O.D. |
| Practice Address |
2150 N Waterman Ave Suite 201 San Bernardino CA 92404-4811 |
| Practice Telephone | 9098812020 |
| Mailing Telephone | 9098812020 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 13943 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1619288115 | 05 |
| Street Address |
2150 N WATERMAN AVE SUITE 201 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898792 | Kofi Adade-boafo | Pediatrics | 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404-4811 | 2005-11-17 |
| 1952538779 | Tonya Maria Pinkerton | Physician Assistant | 2150 N Waterman Ave, 102, San Bernardino, CA 92404-4811 | 2009-06-18 |
| 1255577086 | Kha Dang Le and Anne Hangman Le Dmd Inc | Dentist | 2150 N Waterman Ave, Suite # 103, San Bernardino, CA 92404 | 2008-12-29 |
| 1700057056 | Anne Hongman Le | Dentist | 2150 N Waterman Ave, San Bernardino, CA 92404-4811 | 2008-03-14 |
| 1528238961 | Inland Healthcare Group, A Medical Corporation | Pediatrics | 2150 N Waterman Ave, Suite 303, San Bernardino, CA 92404-4811 | 2008-02-29 |
| 1497965529 | Raymond A Cervenka | Physician Assistant | 2150 N Waterman Ave, San Bernardino, CA 92404-4811 | 2007-05-24 |
| 1679628069 | Arthur Friedman Od A Professional Optometric Corporation | Optometrist | 2150 N Waterman Ave, #201, San Bernardino, CA 92404-4811 | 2007-01-24 |
| 1609988526 | Lac Pharmacies Inc | Pharmacy | 2150 N Waterman Ave, Ste 104, San Bernardino, CA 92404-4811 | 2006-08-31 |
| 1487768743 | Bao Lou Nguyen | Dentist | 2150 N Waterman Ave, Ste 103, San Bernardino, CA 92404-4811 | 2006-08-17 |
| 1417963398 | Maria D Torres | Physician Assistant | 2150 N Waterman Ave, Ste 202, San Bernardino, CA 92404-4811 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1952769416 | Sohil Manhoobi | Optometrist | 330 Inland Shopping Ctr, San Bernardino, CA 92408-1937 | 2016-01-29 |
| 1780087767 | Frank Anthony Rubino Jr. | Optometrist | 407 E. Gilbert St., Suite 10, San Bernardino, CA 92404-5325 | 2014-10-03 |
| 1104139104 | Faith Enfield | Optometrist | 2150 N Waterman Ave Ste 201, San Bernardino, CA 92404-4811 | 2010-07-19 |
| 1437359940 | Glorilyn Tamano Fletcher | Optometrist | 164 W. Hospitality Lane, Ste.7, San Bernardino, CA 92408-3329 | 2007-07-23 |
| 1750586723 | Dr. Satpal Multani, A Professional Corporation | Optometrist | 473 E Carnegie Dr Ste 100, San Bernardino, CA 92408-3567 | 2007-06-19 |
| 1407974058 | Cynthia Corbett | Optometrist | 164 W Hospitality Lane Suite 7, San Bernardino, CA 92408-3329 | 2007-03-26 |
| 1629103833 | Ronald Adolph Kascius | Optometrist | 965 S E St Ste E, San Bernardino, CA 92408-1940 | 2007-02-21 |
| 1275676280 | Jimmy Quoc Vu | Optometrist | 100 Inland Center Drive, San Bernardino, CA 92408 | 2007-02-15 |
| 1699826404 | Louis Stephen Prijatel | Optometrist | 330 Inland Shopping Ctr., San Bernardino, CA 92408-1931 | 2007-01-16 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.