Kaileen Freeberg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005679APP23 Issued in MI

Practice address

307 S Franklin St
Greenville, MI 48838-1759

Phone

(616) 754-7143

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• E.C. One, PLLC

  dba Eye Care One

  • Optometrist
  • Fremont, MI
  • NPI 1639137508
  Medicare reassignment NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1710679535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 WHITE PINE CT",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488099107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S FRANKLIN ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381759",
            "telephone_number": "616-754-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEBERG",
        "first_name": "KAILEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005679APP23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jared Foster, DO
• Sally Jane Fox Bolek, RN, MSN
• Nicole Fox
• Peggy Jo Frank, MA CCC-A
• Shelby J Franklin
• Andrea Hope Curtin Freeman, MD
• Cecelia Fuller, LLMSW
• Erik J Fuller, LMSW
• Terri L Fullerton, NP
• Hayley Olivia Gabriel, PA-C

• Optometrist in Greenville, MI
• Providers in Greenville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.

Verify at the official NPI Registry.