Active NPI
Ali Michele Freese, O.D.
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008214-1
- Practice address
- 109 4TH Ave
Brooklyn, NY 11217-2712 - Phone
- (718) 438-5600
- NPI assigned
- Jul 15, 2014
- Last updated
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | TUV008214-1 | NY | Primary |
Addresses
Primary practice location
109 4TH Ave
Brooklyn, NY 11217-2712
Mailing address
109 4TH Ave
Brooklyn, NY 11217-2712
Phone (718) 438-5600
Other practice location 1
1530 Bedford Ave
Brooklyn, NY 11216-4117
Phone (212) 938-4001
Other practice location 2
5205 Church Ave
Brooklyn, NY 11203-3513
Phone (718) 736-2323
Other practice location 3
719 Grand St
Brooklyn, NY 11211-4940
Phone (718) 388-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1530 Bedford Ave
Brooklyn, NY 11216-4117
Phone (718) 221-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008214-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Primary Health Care Center, LLC | Current | Accepting new patients | |
| State of New York Comptrollers Office | Optometrist | Current | Accepting new patients |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Harooni & Sheindlin MD PC | Current | Accepting new patients | |
| Medalliance Medical Health Services Inc | Past | Accepting new patients |
Locations
109 4th Ave
Brooklyn, NY 11217
Phone (718) 438-5600
1530 Bedford Ave
Brooklyn, NY 11216
Phone (718) 221-2020
1530 Bedford Ave
Fl 1
Brooklyn, NY 11216
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
5205 Church Ave
Brooklyn, NY 11203
Phone (718) 342-2500
586 President St
Ste B
Brooklyn, NY 11215
Phone (718) 438-5600
719 Grand St
Brooklyn, NY 11211
Phone (718) 388-5200
7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400
33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930
University Eye Ctr
New York, NY 10087
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Brooklyn, NY
- NPI 1861597510
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
-
dba Suny College of Optometry/University Eye Center
- Optometrist
- New York, NY
- NPI 1407829856
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
- Clinic/Center
- Bronx, NY
- NPI 1558356741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1316354913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172712",
"telephone_number": "718-438-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 4TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172712",
"telephone_number": "718-438-5600"
}
],
"practiceLocations": [
{
"address_1": "1530 Bedford Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112164117",
"country_code": "US",
"telephone_number": "212-938-4001",
"fax_number": "212-938-5831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5205 Church Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112033513",
"country_code": "US",
"telephone_number": "718-736-2323",
"fax_number": "917-386-2679",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "719 Grand St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112114940",
"country_code": "US",
"telephone_number": "718-388-5200",
"fax_number": "917-386-2679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREESE",
"first_name": "ALI",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008214-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.