Individual provider Active NPI

Amy Jean Freed, O.D.

  • Optometrist
  • Chaska, MN
National Provider Identifier
1881741213
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2626 Issued in MN
Practice address
1464 White Oak Dr
Chaska, MN 55318-2525
Phone
(952) 466-3937
Fax
(952) 466-3936
NPI assigned
Jan 5, 2007
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2626 MN Primary

Addresses

Primary practice location

1464 White Oak Dr
Chaska, MN 55318-2525

Mailing address

4004 Hallgren CT
Excelsior, MN 55331-7755
Phone (612) 554-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20041213000077 MN Practitioner - Optometry 1850358813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Specialists, LLCGroup PAC ID 9032010251, 13 clinicians

Practice addresses (Care Compare)

304 W
Suite 212
Norwood Young America, MN 55368
Phone (952) 467-2250

Merit-based Incentive Payment System (MIPS)

Final score
86.97 of 100Reported as group
Quality
84.94
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2626MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Specialists LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Southwest Eye Care Inc Optometrist CurrentSince Jul 1, 2005 Accepting new patients
Regional Eye Specialists LLC CurrentSince Mar 1, 2024 Accepting new patients
Dr. Freed & Associates, Inc. Optometrist Past Accepting new patients

Locations

1200 Chaska Creek Way
Ste 110
Chaska, MN 55318
Phone (320) 587-6308

1464 White Oak Dr
Chaska, MN 55318
Phone (952) 466-3937

1201 Greeley Ave N
Glencoe, MN 55336
Phone (320) 864-2020

1201 Greeley Ave N
Ste 3
Glencoe, MN 55336
Phone (320) 864-2020

1455 Montreal St SE
Hutchinson, MN 55350
Phone (320) 587-6305

304 W Highway 212
Norwood Young America, MN 55368
Phone (952) 467-2250

4661 Shoreline Dr
Spring Park, MN 55384
Phone (307) 337-7321

4681 Shoreline Dr
Spring Park, MN 55384
Phone (952) 472-3937

Organizations & group practices 4

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1881741213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 HALLGREN CT",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553317755",
            "telephone_number": "612-554-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 WHITE OAK DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182525",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.