Provider Demographics
NPI:1295705267
Name:FREEL, DON W (OD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:W
Last Name:FREEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:DONALD
Other - Middle Name:WAYNE
Other - Last Name:FREEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71802-0460
Mailing Address - Country:US
Mailing Address - Phone:870-777-2336
Mailing Address - Fax:870-777-2336
Practice Address - Street 1:900 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801
Practice Address - Country:US
Practice Address - Phone:870-777-2336
Practice Address - Fax:870-777-2336
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2066152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T20138Medicare UPIN
AR47865Medicare ID - Type Unspecified