Active NPI
P David Freeman MD LTD
- Retina Specialist (Ophthalmology) Physician
- Reno, NV
National Provider Identifier
1154811461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- Legal business name
- P DAVID FREEMAN MD LTD
- Practice address
- 7480 Longley LN
Reno, NV 89511-1228 - Phone
- (775) 451-7268
- Fax
- (775) 451-7270
- NPI assigned
- May 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter David Freeman, MD
- Title
- Owner / Physician
- Phone
- (775) 451-7268
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | Primary |
Addresses
Primary practice location
7480 Longley LN
Reno, NV 89511-1228
Mailing address
7480 Longley LN
Reno, NV 89511-1228
Phone (775) 451-7268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467657510 | Medicaid | NV |
Other names 1
- RENO EYE INSTITUTE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | reni.ema.md | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5570 Longley Ln
Ste B
Reno, NV 89511
Phone (775) 451-7268
7480 Longley Ln
Reno, NV 89511
Phone (775) 451-7268
5570 Longley Ln
Reno, NV 89511
Phone (708) 689-4770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Reno, NV
- NPI 1467657510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1154811461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7480 LONGLEY LN",
"city": "RENO",
"state": "NV",
"postal_code": "895111228",
"telephone_number": "775-451-7268",
"fax_number": "775-451-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7480 LONGLEY LN",
"city": "RENO",
"state": "NV",
"postal_code": "895111228",
"telephone_number": "775-451-7268",
"fax_number": "775-451-7270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P DAVID FREEMAN MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-11",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER / PHYSICIAN",
"authorized_official_telephone_number": "775-451-7268",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467657510",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "reni.ema.md",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR Site",
"address_1": "7480 Longley Ln",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895111228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "RENO EYE INSTITUTE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.