Organization Active NPI

Daniel R Freson OD Inc

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1225151277
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH3347T441 Issued in OH
Legal business name
DANIEL R FRESON OD INC
Practice address
1730 W 25TH St
Cleveland, OH 44113-3108
Phone
(216) 771-8311
Fax
(216) 771-7450
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Dr. Daniel R. Freson, OD
Title
President
Phone
(216) 771-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OH3347T441 OH Primary

Addresses

Primary practice location

1730 W 25TH St
Cleveland, OH 44113-3108

Mailing address

2012 W 25TH St
Room 1
Cleveland, OH 44113-4135
Phone (216) 771-8311

Other identifiers 1

IdentifierTypeStateIssuer
0489690MedicaidOH

National Provider Directory

National Provider Directory

Locations

2012 W 25th St
Lbby 1
Cleveland, OH 44113
Phone (216) 771-8311

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1225151277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 W 25TH ST",
            "address_2": "ROOM 1",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134135",
            "telephone_number": "216-771-8311",
            "fax_number": "216-771-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W 25TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441133108",
            "telephone_number": "216-771-8311",
            "fax_number": "216-771-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R FRESON OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "FRESON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-771-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH3347T441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.