MEDICARE: DR. ABRAHAM JACOB GOTTFRIED O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV0042891	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598827925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABRAHAM JACOB GOTTFRIED O.D.

Provider Business Mailing Address
First Line	:	2856 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-2726
Country	:	US
Telephone Number	:	718-585-5100
Fax Number	:	718-292-0805

Provider Business Practice Location Address
First Line	:	2856 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-2726
Country	:	US
Telephone Number	:	718-585-5100
Fax Number	:	718-292-0805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	09/09/2015

Similar Medicare Providers

1932335759 — NEW TRENDS OPTICAL, CORP
Practice Location Address:

2856 3RD AVE
BRONX, NY
10455-2726

Practice Phone: 718-585-5100
Practice Fax: 718-292-0805

1497353486 — THIRD AVENUE VISION EXPRESS LLC
Practice Location Address:

2856 3RD AVE
BRONX, NY
10455-2726

Practice Phone: 718-585-5100
Practice Fax: 718-292-0805

1962081968 — BRONX VISION OPTOMETRY AND OPHTHALMIC DISPENSING PLLC
Practice Location Address:

2856 3RD AVE
BRONX, NY
10455-2726

Practice Phone: 718-292-0805
Practice Fax: 718-585-5100

1437005725 — JENNIFER ANN MITCHUM
Practice Location Address:

730 KELLY ST
BRONX, NY
10455-1911

Practice Phone: 718-542-4127
Practice Fax:

1336933688 — OLIVIA S MEDICAL PLLC
Practice Location Address:

369 E 149TH ST
BRONX, NY
10455-3906

Practice Phone: 718-284-7070
Practice Fax:

1073460846 — MEDIVA MEDICAL SUPPLIES LLC
Practice Location Address:

469 E 147TH ST
BRONX, NY
10455-4181

Practice Phone: 732-668-5529
Practice Fax:

Directions to “ DR. ABRAHAM JACOB GOTTFRIED O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.