Provider Demographics
NPI:1083686604
Name:FREEDMAN, IRVING ASHER (OD)
Entity Type:Individual
Prefix:DR
First Name:IRVING
Middle Name:ASHER
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:9795 CROSSPOINT BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3354
Mailing Address - Country:US
Mailing Address - Phone:317-254-6480
Mailing Address - Fax:317-259-8609
Practice Address - Street 1:8411 WINDFALL LN
Practice Address - Street 2:STE 130
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-8022
Practice Address - Country:US
Practice Address - Phone:317-856-5677
Practice Address - Fax:317-856-5673
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN18001422152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INT35202Medicare UPIN