Active NPI
Robert J Freedland, MD
- Ophthalmology Physician
- Onalaska, WI
National Provider Identifier
1376534958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 27627
- Practice address
- 191 Theater Rd
Onalaska, WI 54650 - Phone
- (608) 785-0940
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 27627 | WI | Primary |
Addresses
Primary practice location
191 Theater Rd
Onalaska, WI 54650
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (608) 785-0940
Other practice location 1
800 West Ave S
La Crosse, WI 54601-8806
Phone (608) 392-9871
Other practice location 2
800 West Ave S
La Crosse, WI 54601-8806
Phone (608) 392-9871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1376534958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "608-785-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 THEATER RD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "54650",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "800 West Ave S",
"address_purpose": "LOCATION",
"city": "La Crosse",
"state": "WI",
"postal_code": "546018806",
"country_code": "US",
"telephone_number": "608-392-9871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 West Ave S",
"address_purpose": "LOCATION",
"city": "La Crosse",
"state": "WI",
"postal_code": "546018806",
"country_code": "US",
"telephone_number": "608-392-9871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEDLAND",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "27627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.