Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY J FREDERIKSEN, OD
ActiveDR. TIMOTHY J FREDERIKSEN, OD is a Optometrist healthcare provider located in HAYWARD, Wisconsin. NPI 1649262478 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HAYWARD, WI
Registration Details
- NPI Number
- 1649262478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (20.963048122585 yrs)
- Last Updated
- Jan 9, 2020
- License
-
2235-035 (WI)
Practice Information
- Address
-
15569 RAILROAD STSTE 301HAYWARD, WI, 548435707Browse WI providers · Browse ZIP 54843
- Phone
- 7156348616
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in HAYWARD, WI
| Name | Credential | NPI |
|---|---|---|
| TRACY LYNN KOCEMBA | OD | 1467434647 |
| DR. LEIF E ERICKSON | OD | 1427148485 |
| MIKEAL ROBERT OSTRANDER | O.D. | 1063859130 |
| DR. BETH HEINZ | OD | 1023992435 |
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.