If you're looking for an old-school steak house with outstanding food and service, this is it.
The space is really great - dark, cozy, med/quiet, old-school. We had a porterhouse, split a cesar and a baked potato. The steak was really, really tasty and perfectly done. no complaints on the baked potato or cesar, either. For someone who wants to escape the craziness of the Strip (or the crazy Strip prices), this is a great option. The D hotel is also a cool space to gamble and enjoy some Downtown Vegas life, but it isn't on Freemont so you can avoid the craziness.
I highly recommend Joe Vicari's. Food and service were excellent.