Organization Active NPI

P David Freeman MD LTD

  • Retina Specialist (Ophthalmology) Physician
  • Reno, NV
National Provider Identifier
1154811461
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
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

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Peter David Freeman, MDNPI 1467657510
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)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1467657510MedicaidNV

Other names 1

  • RENO EYE INSTITUTE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL reni.ema.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180615002144 NV Part B Supplier - Clinic/Group Practice 0840545893 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV; Sparks, NV; Winnemucca, NV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.