Individual provider Active NPI

James Freedman, OD

  • Optometrist
  • North Easton, MA
National Provider Identifier
1508970013
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2384 Issued in MA
Practice address
670 Depot St
North Easton, MA 02356-2742
Phone
(508) 238-6460
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2384 MA Primary

Addresses

Primary practice location

670 Depot St
North Easton, MA 02356-2742

Mailing address

670 Depot St
North Easton, MA 02356-2742
Phone (508) 238-6460

Other identifiers 1

IdentifierTypeStateIssuer
0320544MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080418000387 MA Practitioner - Optometry 5294813077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Eye Associates of Leominster IncGroup PAC ID 5991705949, 2 clinicians

Practice addresses (Care Compare)

25 Sack Blvd
Leominster, MA 01453-3325
Phone (978) 537-2270

670 Depot St
North Easton, MA 02356-2742
Phone (508) 238-8460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2384MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Eye Associates PC Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Baystate Eye Associates of Leominster Inc Optometrist CurrentSince Sep 1, 1973 Accepting new patients

Locations

25 Sack Blvd
Leominster, MA 01453
Phone (978) 537-2270

670 Depot St
North Easton, MA 02356
Phone (508) 238-6460

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1508970013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 DEPOT ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562742",
            "telephone_number": "508-238-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 DEPOT ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562742",
            "telephone_number": "508-238-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320544",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.