Individual provider Active NPI

Ali Michele Freese, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1316354913
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008214-1 Issued in NY
Practice address
109 4TH Ave
Brooklyn, NY 11217-2712
Phone
(718) 438-5600
NPI assigned
Jul 15, 2014
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028001966 NY Practitioner - Optometry 4880815240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harooni and Sheindlin MD PCGroup PAC ID 3971568478, 8 clinicians

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

LicenseStateTypeSpecialty
TUV008214-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Primary Health Care Center, LLC CurrentSince Jan 9, 2019 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jul 9, 2014 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2021 Accepting new patients
State of New York Comptrollers Office CurrentSince Jul 9, 2014 Accepting new patients
Harooni & Sheindlin MD PC CurrentSince May 1, 2017 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.

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

Verify at the official NPI Registry.