Organization Active NPI

David R. Free, O.D. PC

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1598824914
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1176 Issued in OK
Legal business name
DAVID R. FREE, O.D. PC
Practice address
1223 S Peoria Ave Ste a
Tulsa, OK 74120-5004
Phone
(918) 582-7346
Fax
(918) 585-3331
NPI assigned
Dec 8, 2006
Organization subpart
No

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

Authorized official

Name
Dr. David Randal Free, O.D.NPI 1417025594
Title
President
Phone
(918) 582-7346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other identifiers 4

IdentifierTypeStateIssuer
2776900001OtherKSCIGNA
OK1176OtherOKEYEMED
445747074002-BCBSOtherOKBCBS
5022187OtherOKAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090716000094 OK Part B Supplier - Clinic/Group Practice 4587716998 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK
O20211001003018 OK DME Supplier - Physician - Optometrist 4587716998 Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
David R. Free, OD, PC1223 S Peoria Ave, Tulsa, OK 74120-5004(918) 582-7346 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 1, 2003

National Provider Directory

National Provider Directory

Locations

1223 S Peoria Ave
Ste A
Tulsa, OK 74120

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1598824914",
    "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": {
        "organization_name": "DAVID R. FREE, O.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-582-7346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2776900001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OK1176",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "445747074002-BCBS",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5022187",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.