Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY ALAN FREDERICKSON, O.D.
ActiveDR. BRADLEY ALAN FREDERICKSON, O.D. is a Optometrist healthcare provider located in FEDERAL WAY, Washington. NPI 1174631899 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1174631899
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.945671058371 yrs)
- Last Updated
- Jan 3, 2024
- License
-
OD00003074 (WA)
Practice Information
- Address
-
34719 6TH AVE SFEDERAL WAY, WA, 980038714Browse WA providers · Browse ZIP 98003
- Phone
- 2062122100
- Fax
- 2062122194
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| DR. EDWARD SEUNGHO LEE | O.D. | 1083616288 |
| DR. CURTIS R. BAXSTROM | OD | 1699767285 |
| BRENT CHIN | O.D. | 1598751349 |
| DR. AVA MINEKO NAKAMOTO | O.D. | 1104809995 |
| DR. RICHARD HAROLD SCHNEIDER JR. | O.D. | 1639152283 |
| DR. DAVID B SOUZA | OD | 1811904964 |
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.