Active NPI
Christine Ann Bultema Freeman, O.D.
- Optometrist
- Burnsville, MN
National Provider Identifier
1205090982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3122
- Practice address
- 13921 Aldrich Ave S
Burnsville, MN 55337-6216 - Phone
- (952) 894-4000
- NPI assigned
- Jul 11, 2008
- Sex
- Female
- 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 | 3122 | MN | Primary |
Addresses
Primary practice location
13921 Aldrich Ave S
Burnsville, MN 55337-6216
Mailing address
4629 Weston Hills Dr
Eagan, MN 55123-3977
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3122 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America'S Best Contacts and Eyeglasses, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Burnsville, MN
- NPI 1760414353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1205090982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 WESTON HILLS DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551233977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13921 ALDRICH AVE S",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376216",
"telephone_number": "952-894-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "CHRISTINE",
"middle_name": "ANN BULTEMA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.