Individual provider Active NPI

Paul B Freeman, OD

  • Low Vision Rehabilitation Optometrist
  • Pittsburgh, PA
National Provider Identifier
1043288178
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OEG000609 Issued in PA
Practice address
420 E North Ave
Suite 116
Pittsburgh, PA 15212-4746
Phone
(412) 359-6301
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X OEG000609 PA Primary

Addresses

Primary practice location

420 E North Ave
Suite 116
Pittsburgh, PA 15212-4746

Mailing address

420 E North Ave
Suite 116
Pittsburgh, PA 15212-4746
Phone (412) 359-6301

Other identifiers 1

IdentifierTypeStateIssuer
001466751MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000126 PA Practitioner - Optometry 9032177506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 E N Ave
Suite 116
Pittsburgh, PA 15212-4746
Phone (724) 347-5501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman & Eger, LLP Low Vision Rehabilitation CurrentSince Aug 1, 2003 Accepting new patients
Chesapeake Eye Physicians, PLC Past Accepting new patients
Dr. Kenneth a Lebow PastSince Aug 19, 1998 Accepting new patients

Locations

3056 E State St
Hermitage, PA 16148
Phone (724) 347-5501

420 E North Ave
Ste 116
Pittsburgh, PA 15212
Phone (412) 359-6296

420 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-6300

420 E North Ave
Ste 116A
Pittsburgh, PA 15212

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1043288178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE",
            "address_2": "SUITE 116",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE",
            "address_2": "SUITE 116",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "PA",
            "license": "OEG000609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001466751",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.