Active NPI
Lyle Freedman MD Huguley Optical
- Optician
- Fort Worth, TX
National Provider Identifier
1770696304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- MDG2369
- Legal business name
- LYLE FREEDMAN MD HUGULEY OPTICAL
- Practice address
- 11803 S Freeway
Ste 114-116
Fort Worth, TX 76115-0426 - Phone
- (817) 551-5600
- NPI assigned
- Aug 17, 2006
- Organization subpart
- Yes
- Parent organization
- LYLE E. FREEDMAN, MD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lyle E. Freedman, MD
- Title
- Owner
- Phone
- (817) 551-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | MDG2369 | TX | Primary |
Addresses
Primary practice location
11803 S Freeway
Ste 114-116
Fort Worth, TX 76115-0426
Mailing address
PO Box 6426
Fort Worth, TX 76115-0426
Phone (817) 551-5600
National Provider Directory
National Provider Directory- Part of
- Lyle Freedman MD Huguley Optical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208131200000",
"number": "1770696304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6426",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761150426",
"telephone_number": "817-551-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 S FREEWAY",
"address_2": "STE 114-116",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761150426",
"telephone_number": "817-551-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYLE FREEDMAN MD HUGULEY OPTICAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LYLE E. FREEDMAN, MD",
"enumeration_date": "2006-08-17",
"last_updated": "2008-04-14",
"status": "A",
"authorized_official_last_name": "FREEDMAN",
"authorized_official_first_name": "LYLE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-551-5600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "TX",
"license": "MDG2369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.