Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERICK ROLLAND EDMUNDS JR., O.D.
Active Sole ProprietorDR. FREDERICK ROLLAND EDMUNDS JR., O.D. is a Sports Vision Optometrist healthcare provider located in VICTOR, New York. NPI 1104991660 is currently active in the NPPES registry. Verify at CMS.
Sports Vision Optometrist · VICTOR, NY
Registration Details
- NPI Number
- 1104991660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.714002907494 yrs)
- Last Updated
- Jul 6, 2023
- Licenses
-
4397 (NY)T004397-1 (NY)T004397-1 (NY)T004397-1 (NY)T004397-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
274 W MAIN STVICTOR, NY, 145641157Browse NY providers · Browse ZIP 14564
- Phone
- 5858804818
- Primary Specialty
-
Sports Vision Optometrist
152WS0006X
- Additional Specialty
- Optometrist
- Additional Specialty
- Corneal & Contact Management Optometrist
- Additional Specialty
- Vision Therapy Optometrist
- Additional Specialty
- Sports Vision Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.