Individual provider Active NPI

David Randal Free, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1417025594
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1176 Issued in OK
Practice address
1223 S Peoria Ave Ste a
Tulsa, OK 74120-5004
Phone
(918) 582-7346
Fax
(918) 585-3331
NPI assigned
Nov 30, 2006
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1176 OK Primary

Addresses

Primary practice location

1223 S Peoria Ave Ste a
Tulsa, OK 74120-5004

Mailing address

1223 S Peoria Ave Ste a
Tulsa, OK 74120-5004
Phone (918) 582-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20090706000465 OK Practitioner - Optometry 3476604323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1223 S Peoria Ave
Suite a
Tulsa, OK 74120-5004
Phone (918) 582-7346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1176OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David R. Free, O.D. PC Optometrist CurrentSince Jan 15, 1999 Accepting new patients

Locations

1223 S Peoria Ave
Ste A
Tulsa, OK 74120

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, 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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1417025594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S PEORIA AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205004",
            "telephone_number": "918-582-7346",
            "fax_number": "918-585-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S PEORIA AVE STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205004",
            "telephone_number": "918-582-7346",
            "fax_number": "918-585-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "DAVID",
        "middle_name": "RANDAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.