Active NPI
Eric Scott Freedle, O.D.
- Optometrist
- Tigard, OR
National Provider Identifier
1093898520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1763ATI
- Practice address
- 7307 SW Beveland Rd
Suite 100
Tigard, OR 97223-8831 - Phone
- (503) 639-8844
- Fax
- (503) 639-1904
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 1763ATI | OR | Primary |
Addresses
Primary practice location
7307 SW Beveland Rd
Suite 100
Tigard, OR 97223-8831
Mailing address
2585 SW 75TH Ter
Portland, OR 97225-3380
Phone (503) 936-0816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1763ATI | OR | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1093898520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2585 SW 75TH TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972253380",
"telephone_number": "503-936-0816",
"fax_number": "503-639-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7307 SW BEVELAND RD",
"address_2": "SUITE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238831",
"telephone_number": "503-639-8844",
"fax_number": "503-639-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDLE",
"first_name": "ERIC",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "1763ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.