Gary Fredericksen, OD

ActiveIndividual ProviderOptometry
NPI issued: April 27, 2006

Quick Facts

NPI Number
1629035225
TypeIndividual
StatusActive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(757) 345-3001
StateVA

NPI Validation Status: Verified

Valid 10-digit NPI number (1629035225)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 27, 2006)
Data source: CMS NPPES

Provider Overview

GARY FREDERICKSEN, OD is a Optometry provider based in Williamsburg, VA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1629035225
Provider TypeIndividual Provider
GenderMale
CredentialOD
StatusActive
Enumeration DateApril 27, 2006

Practice Location

CityWilliamsburg
StateVA
ZIP Code23185-2505
Phone(757) 345-3001

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateVA

Mailing Address

CityWilliamsburg
StateVA
ZIP Code23185-2505
Phone(757) 345-3001
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1629035225 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1629035225for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1629035225 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Gary Fredericksen's NPI number?
Gary Fredericksen's NPI number is 1629035225, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Gary Fredericksen's NPI currently active?
Yes, Gary Fredericksen's NPI status is Active as of the latest CMS NPPES database updates.
What does Gary Fredericksen specialize in?
Gary Fredericksen specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Gary Fredericksen practice?
Gary Fredericksen practices in Williamsburg, VA 23185-2505.
When was Gary Fredericksen's NPI issued?
Gary Fredericksen's NPI was issued on April 27, 2006.
What is Gary Fredericksen's provider type?
Gary Fredericksen is registered as an Individual Provider under CMS NPI Type 1.