Individual provider Active NPI

Lars Freisberg, MD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1659325454
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
78852 Issued in AZ
Practice address
4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050-3388
Phone
(602) 368-3448
Fax
(602) 357-3323
NPI assigned
May 19, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 78852 AZ Primary

Addresses

Primary practice location

4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050-3388

Mailing address

4045 E Union Hills Dr Ste 115
Phoenix, AZ 85050-3388
Phone (602) 368-3448

Other identifiers 1

IdentifierTypeStateIssuer
249740MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080929000270 OK Practitioner - Ophthalmology 1052387453 Reassigns benefits to 1 organization
I20251223003323 AZ Practitioner - Ophthalmology 1052387453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Ria LLCGroup PAC ID 1557543501, 6 clinicians

Practice addresses (Care Compare)

4045 E Union Hills Dr
Suite 115
Phoenix, AZ 85050-3388
Phone (602) 368-3448

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78852AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Eye Institute PLLC Ophthalmology Current Accepting new patients
Tulsa Retina Consultants PLLC Ophthalmology CurrentSince May 1, 2015 Accepting new patients
Cameron Ria LLC Ophthalmology CurrentSince Dec 9, 2025 Accepting new patients
Oculoplastic Eye Surgeons of Phoenix P.L.C. CurrentSince Dec 9, 2025 Accepting new patients
Retina Vitreous Consultants Inc. Ophthalmology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1102 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 665-6900

4045 E Union Hills Dr
Ste 115
Phoenix, AZ 85050
Phone (602) 368-3448

2424 E 21st St
Ste 200
Tulsa, OK 74114
Phone (918) 949-4577

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lfreisberg@triadeye.intellechartdirect.net

Organizations & group practices 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1659325454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-368-3448",
            "fax_number": "602-357-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503388",
            "telephone_number": "602-368-3448",
            "fax_number": "602-357-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREISBERG",
        "first_name": "LARS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "78852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249740",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.