Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY W. FREDERICKSEN, OD
ActiveGARY W. FREDERICKSEN, OD is a Optometrist healthcare provider located in WILLIAMSBURG, Virginia. NPI 1629035225 is currently active in the NPPES registry. Verify at CMS.
Optometrist · WILLIAMSBURG, VA
Registration Details
- NPI Number
- 1629035225
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.280910220166 yrs)
- Last Updated
- Nov 27, 2013
- License
-
0618000905 (VA)
Practice Information
- Address
-
120 KINGS WAYSUITE 1300WILLIAMSBURG, VA, 231852505Browse VA providers · Browse ZIP 23185
- Phone
- 7573453001
- Fax
- 7573453102
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in WILLIAMSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY MATTHEW SCHULTZ | O.D. | 1801895891 |
| DR. MATTHEW LOUIS GADA | O.D. | 1578552097 |
| DR. MICHAEL G STERNBERG | OD | 1417933342 |
| SUSAN J PIETROWSKI | OD | 1972580124 |
| DR. RICHARD KENNETH LODWICK | O.D. | 1346269560 |
| DR. BRENT SEGELEON | O.D. | 1386650042 |
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.