Vivianle B Freeman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1313 Issued in NE

Practice address

106 Meyer Ave BLDG 166
Offutt Afb, NE 68113-2000

Phone

(402) 292-0396

Fax

(402) 292-2263

NPI assigned

Sep 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Salute Vision Care

  • Optometrist
  • Offutt Afb, NE
  • NPI 1427746403

  NE, Optometrist

  Medicare reassignment NPD Authorized official
• Bellevue Family Eyecare Center PC

  • Optometrist
  • Bellevue, NE
  • NPI 1316133556

  NE, Optometrist

  Medicare reassignment NPD
• Family Eyecare Center, Inc.

  • Optometrist
  • Council Bluffs, IA
  • NPI 1528256971
  NPD (past)

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1366439010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 SHERIDAN RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235320",
            "telephone_number": "402-452-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEYER AVE BLDG 166",
            "city": "OFFUTT AFB",
            "state": "NE",
            "postal_code": "681132000",
            "telephone_number": "402-292-0396",
            "fax_number": "402-292-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "VIVIANLE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-28",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-973-TA-538",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT-001853",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Charles Eschliman, D.O.
• Orlesha Diane Fairgood, LICSW
• David Faith
• Daniel G Fender, LICSW
• Edwin Fernandez Jr., DNP, APRN, FNP-C
• William Freeman, MD
• Brendon Ross Fuhr
• Benjamin Gramlich, PHARM.D
• Michelle A. Gramling, LCSW
• Weston Griebel, DO

• All providers in Offutt Afb, NE
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.