| Doctor Name: | DR. DOROTHY VERNELL FREEMAN |
| NPI Number: | 1114945417 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OD |
| License Number: | 0618000457 |
| Business Practice Address: | 49 Morton Ave Petersburg, VA - 238052751 |
| Business Phone Number: | 8047322020 |
| Business Fax Number: | 8047320470 |
| Mailing Address: | 49 Morton Ave, PETERSBURG |
| State: | VA |
| Postal Code: | 238052751 |
| Phone Number: | 8047322020 |
| Fax Number: | 8047320470 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 12/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 0618000457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |