Active NPI
Anne M Freeman, OD
- Optometrist
- Los Alamitos, CA
National Provider Identifier
1568434728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT10229TPA
- Practice address
- 10861 Cherry St
Ste 204
Los Alamitos, CA 90720 - Phone
- (562) 598-3160
- Fax
- (562) 598-7383
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT10229TPA | CA | Primary |
Addresses
Primary practice location
10861 Cherry St
Ste 204
Los Alamitos, CA 90720
Mailing address
PO Box 250
Los Alamitos, CA 90720
Phone (562) 598-3160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051102000798 | CA | Practitioner - Optometry | 2365460987 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10229 | CA | MD | Professional Counselor |
| OPT10229TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| L. Wayne Freeman M.D., Inc | Past | Accepting new patients |
Locations
12138 Firestone Blvd
Norwalk, CA 90650
Phone (562) 868-8233
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
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.
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- Optometrist
- Rancho Cordova, CA
- NPI 1154972404
-
- Ophthalmology Physician
- Seal Beach, CA
- NPI 1770691750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1568434728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "90720",
"telephone_number": "562-598-3160",
"fax_number": "562-598-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10861 CHERRY ST",
"address_2": "STE 204",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "90720",
"telephone_number": "562-598-3160",
"fax_number": "562-598-7383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "ANNE",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT10229TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.