Michael B. Freeland O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT Issued in CA

Legal business name

MICHAEL B. FREELAND O.D. INC

Practice address

4976 Verdugo Way
Camarillo, CA 93012-8632

Phone

(805) 482-4628

Fax

(805) 482-4620

NPI assigned

Dec 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael Brian Freeland, O.DNPI 1316022692

Title

President

Phone

(805) 482-4628

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Michael Brian Freeland, O.D.

  • Optometrist
  • Camarillo, CA
  • NPI 1316022692
  Medicare reassignment NPD Authorized official
• Dallin Jayson Dhuart, OD

  • Optometrist
  • Camarillo, CA
  • NPI 1730072802
  Medicare reassignment NPD
• Michael Ross, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1932145596
  NPD (past)

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1376846519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-482-4628",
            "fax_number": "805-482-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-482-4628",
            "fax_number": "805-482-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. FREELAND O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "FREELAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-482-4628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376846519",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Christopher Meyers, IDC
• Patricia Meza
• Raul Meza
• Heidi Mezzatesta, MA, LMFT, PHD(C)
• Madison Miana
• Michael L. Potts, DDS, Inc.
• Michaela E. Gordon, Otr/L, Inc.
• John C Michalak, P.A.-C.
• Steven Ted Michel, DPM
• Michelle Williams Marriage & Family Therapy, Inc

• Optometrist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.