Freedom Laser, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

152W00000X Issued in IA

Legal business name

FREEDOM LASER, L.L.C.

Doing business as

Freedom Lasik,L.L.C.

Practice address

2743 Mount Pleasant St
Burlington, IA 52601-2137

Phone

(319) 758-1107

Fax

(319) 758-6241

NPI assigned

Jan 5, 2007

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Todd Jennings, O.D

Title

President

Phone

(319) 758-1107

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Freedom Lasik,L.L.C. Doing business as

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1932256583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012137",
            "telephone_number": "319-758-1107",
            "fax_number": "319-758-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012137",
            "telephone_number": "319-758-1107",
            "fax_number": "319-758-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM LASER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-758-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "31407",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Lasik,L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ainsley Joyce Fedler, M.A., CCC-SLP
• First Medical Equipment, Inc.
• Nicolas Foss, MS, IADC, NCGC-II
• Tristyn L Foster
• Amy D Franklin, CDAC
• Breanna French, LMSW
• Sierra Garza
• Tod S Gerhardt, OD
• Amy J. Gerveler, CADC
• Carmen Lydia Gittings, LMT, CRR

• Optometrist in Burlington, IA
• Providers in Burlington, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.