Active NPI
Lamont Pierre Freeman, O.D.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1013911973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003831
- Practice address
- 529 Nostrand Ave
Brooklyn, NY 11216-2873 - Phone
- (718) 638-1844
- Fax
- (866) 910-7380
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003831 | NY | Primary |
Addresses
Primary practice location
529 Nostrand Ave
Brooklyn, NY 11216-2873
Mailing address
361 Monroe St
Brooklyn, NY 11221-1104
Phone (718) 638-1844
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 618259 | Other | NY | AETNA |
| 00491281 | Medicaid | NY | |
| 6002280 | Other | NY | GHI |
| 901096001 | Other | NY | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100628000254 | NY | Practitioner - Optometry | 1850422338 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003831 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Brooklyn Vision Services | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Brooklyn, NY
- NPI 1679933642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1013911973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 MONROE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112211104",
"telephone_number": "718-638-1844",
"fax_number": "866-910-7380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162873",
"telephone_number": "718-638-1844",
"fax_number": "866-910-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LAMONT",
"middle_name": "PIERRE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "618259",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00491281",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6002280",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "901096001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.