Robert a. Freedman, M.D. P.C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

37309 Issued in MA

Legal business name

ROBERT A. FREEDMAN, M.D. P.C

Practice address

400 Highland Ave
Suite 20
Salem, MA 01970
UM

Phone

(978) 744-1177

Fax

(978) 910-0125

NPI assigned

Jul 23, 2007

Last updated

Mar 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Freedman, M.D.NPI 1598878738

Title

Owner

Phone

(978) 744-1177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Center of North Shore Other name

Tax ID family

Robert a Freedman MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Center of the North Shore

  • Contact Lens Fitter
  • Salem, MA
  • NPI 1184027823
  NPD tax ID
• Eye Center of the North Shore, LLC

  • Ophthalmology Physician
  • Salem, MA
  • NPI 1053562330
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert A Freedman, MD

  • Ophthalmology Physician
  • Salem, MA
  • NPI 1598878738
  NPD (past) Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1700086352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "address_2": "SUITE 20",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707003",
            "telephone_number": "978-744-1177",
            "fax_number": "978-910-0125"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "400 HIGHLAND AVE",
            "address_2": "SUITE 20",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-744-1177",
            "fax_number": "978-910-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. FREEDMAN, M.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-744-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "37309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598878738",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center of North Shore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.