Freedom Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6642 Issued in TX

Legal business name

FREEDOM EYE CARE PLLC

Practice address

4211 S Lamar
Austin, TX 78704

Phone

(512) 916-4600

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Soroush Azadi, O.D.NPI 1003825621

Title

President

Phone

(512) 916-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soroush Bahnamiri Azadi, O.D.

  • Corneal and Contact Management Optometrist
  • Austin, TX
  • NPI 1003825621
  Medicare reassignment Care Compare group NPD Authorized official
• Carlos E Liranzo

  • Optometrist
  • Austin, TX
  • NPI 1366019754
  Medicare reassignment Care Compare group NPD
• Maria Quintanilla, O.D.

  • Optometrist
  • Taylor, TX
  • NPI 1003881574
  NPD (past)

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1265794150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 S LAMAR BLVD",
            "address_2": "STE E-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047996",
            "telephone_number": "512-916-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 S LAMAR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-916-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "AZADI",
        "authorized_official_first_name": "SOROUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-916-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Victoria Fredriksson Ellison, M.S. CCC-SLP
• Jeyton Freed
• Daniel Freedman
• Freedom and Love Innerwellness PLLC
• Freedom Choice Holdings LLC
• Freedom Home Health and Wellness
• Freedom in Function, LLC
• Meredith Freeland
• Freeman Medical Clinic, PLLC
• Andrea Freeman

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.