Irving Asher Freedman, O.D.
Individual provider Active NPI Optometrist · Camby, IN
NPI 1083686604 · NPPES record last updated Sep 9, 2014
Key facts
- NPI
- 1083686604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18001422 (IN)
- Practice address
- 8411 Windfall LN
Ste 130
Camby, IN 46113-8022 - Phone
- (317) 856-5677
- Fax
- (317) 856-5673
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001422 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Indiana II, P.C. | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001422 | IN | Yes |
Addresses
Primary practice location
8411 Windfall LN
Ste 130
Camby, IN 46113-8022
Mailing address
9795 Crosspoint Blvd
Suite 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480
Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.