Active NPI
Daniel R. Freson, O.D.
- Corneal and Contact Management Optometrist
- Cleveland, OH
National Provider Identifier
1902839368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3347 T 441
- Practice address
- 1730 W 25TH St Ste 3000
Cleveland, OH 44113-3108 - Phone
- (216) 771-8311
- Fax
- (216) 771-7450
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3347 T 441 | OH | Primary |
Addresses
Primary practice location
1730 W 25TH St Ste 3000
Cleveland, OH 44113-3108
Mailing address
2012 W 25TH St Lbby 1
Cleveland, OH 44113-4131
Phone (216) 771-8311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341537548026 | Other | OH | CARE SOURCE |
| 0489690 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3347 T 441 | OH | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1902839368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 W 25TH ST LBBY 1",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441134131",
"telephone_number": "216-771-8311",
"fax_number": "216-771-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W 25TH ST STE 3000",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-771-8311",
"fax_number": "216-771-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRESON",
"first_name": "DANIEL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "OH",
"license": "3347 T 441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "341537548026",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0489690",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.