Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETT WILLIAM FREDERICKSEN, OD
ActiveBRETT WILLIAM FREDERICKSEN, OD is a Optometrist healthcare provider located in BOISE, Idaho. NPI 1194392845 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BOISE, ID
Registration Details
- NPI Number
- 1194392845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2021 (5.156859513792 yrs)
- Last Updated
- Jun 9, 2021
- License
-
ODP-100533 (ID)
Practice Information
- Address
-
291 N MILWAUKEE ST STE A-3BOISE, ID, 837049132Browse ID providers · Browse ZIP 83704
- Phone
- 8337762020
- Fax
- 2082975718
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. GARY R. PABALIS | O.D. | 1396740262 |
| BRIAN J MCNEEL | O.D. | 1821094152 |
| DR. PAUL BIGELOW | O.D. | 1811993512 |
| DR. TODD ANTHONY NOBLE | O.D. | 1548268931 |
| DR. TERRENCE J REYNOLDS | O.D. | 1386628162 |
| LUKE KYLE HOPSTAD | O.D. | 1598742561 |
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.