MEDICARE: DR. DARLENE FREEMAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4649	TX

General Provider Information

NPI Number	:	1396135638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARLENE FREEMAN O.D.

Provider Business Mailing Address
First Line	:	1726 SHANNON VALLEY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-4832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16200 CITY WALK
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6543
Country	:	US
Telephone Number	:	281-265-2000
Fax Number	:	281-265-2141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	02/14/2017

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