Organization Active NPI

Lyle Freedman MD Huguley Optical

  • Optician
  • Fort Worth, TX
National Provider Identifier
1770696304
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
MDG2369 Issued in TX
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, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.