NPIMap

Organization Active NPI

Freeman Eye Care PLLC

  • Optometrist
  • Logan, WV
National Provider Identifier
1912253758
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1003-OD Issued in WV
Legal business name
FREEMAN EYE CARE PLLC
Practice address
77 Norman Morgan Blvd
Logan, WV 25601-3477
Phone
(304) 752-5659
Fax
(304) 752-6329
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Terry Dale Freeman, O.D.NPI 1538352562
Title
Owner
Phone
(304) 752-5659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1003-OD WV Primary

Addresses

Primary practice location

77 Norman Morgan Blvd
Logan, WV 25601-3477

Mailing address

519 2ND St W
Madison, WV 25130-1043
Phone (304) 752-5659

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1912253758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 2ND ST W",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301043",
            "telephone_number": "304-752-5659",
            "fax_number": "304-752-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NORMAN MORGAN BLVD",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013477",
            "telephone_number": "304-752-5659",
            "fax_number": "304-752-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-752-5659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1003-OD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.