Individual provider Active NPI

Felicia S Freeman, OD

  • Optometrist
  • Frisco, TX
National Provider Identifier
1093870669
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5075TG Issued in TX
Practice address
6842 Lebanon Road
Suite #101
Frisco, TX 75034-7480
Phone
(972) 712-7890
Fax
(972) 712-3119
NPI assigned
Dec 26, 2006
Last updated
Jul 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5075T TX
Optometrist 152W00000X 5075TG TX Primary

Addresses

Primary practice location

6842 Lebanon Road
Suite #101
Frisco, TX 75034-7480

Mailing address

6842 Lebanon Road
Suite #101
Frisco, TX 75034-7480
Phone (972) 712-7890

Other names 1

  • Felicia Sorola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090325000395 TX Practitioner - OptometryPractitioner - Ophthalmology 0648337360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

4301 W William Cannon Dr
Suite 210
Austin, TX 78749-1473
Phone (512) 328-0015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5075TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James a Williams O.D.P.C. CurrentSince Jan 1, 2009 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 8, 2022 Accepting new patients
Captex Vision, PLLC Optometrist CurrentSince Nov 4, 2021 Accepting new patients
James a. Williams O.D.P.C. CurrentSince Jan 1, 2009 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

2410 E Riverside Dr
Ste H10
Austin, TX 78741
Phone (512) 344-9775

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

4301 W William Cannon Dr
#210
Austin, TX 78749
Phone (512) 328-0015

120 Town Pl
Fairview, TX 75069
Phone (972) 549-4255

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

2601 Preston Rd
Ste 2124
Frisco, TX 75034
Phone (972) 335-9332

811 N Central Expy
Ste 1145
Plano, TX 75075
Phone (972) 516-0026

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1093870669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 LEBANON ROAD",
            "address_2": "SUITE #101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347480",
            "telephone_number": "972-712-7890",
            "fax_number": "972-712-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 LEBANON ROAD",
            "address_2": "SUITE #101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347480",
            "telephone_number": "972-712-7890",
            "fax_number": "972-712-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "FELICIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5075T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5075TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "SOROLA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.