Active NPI
Melvin Irwin Freeman, M.D.
- Ophthalmology Physician
- Yarrow Point, WA
National Provider Identifier
1588793939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00010669
- Practice address
- 4625 92ND Ave NE
Yarrow Point, WA 98004-1336 - Phone
- (425) 454-4868
- Fax
- (425) 454-5449
- NPI assigned
- Mar 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MD00010669 | WA | Primary |
Addresses
Primary practice location
4625 92ND Ave NE
Yarrow Point, WA 98004-1336
Mailing address
4625 92ND Ave NE
Yarrow Point, WA 98004-1336
Phone (425) 454-4868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00010669 | WA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588793939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 92ND AVE NE",
"city": "YARROW POINT",
"state": "WA",
"postal_code": "980041336",
"telephone_number": "425-454-4868",
"fax_number": "425-454-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 92ND AVE NE",
"city": "YARROW POINT",
"state": "WA",
"postal_code": "980041336",
"telephone_number": "425-454-4868",
"fax_number": "425-454-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "MELVIN",
"middle_name": "IRWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00010669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yarrow Point, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.