Dr. Bradley Alan Frederickson is a Federal Way, Washington based male Optometrist with 35 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 1989. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Bradley Alan Frederickson is OD00003074 for Optometry in Washington. Dr. Bradley Alan Frederickson examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Bradley Alan Frederickson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
35+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
34719 6th Ave S, Federal Way, Washington, 98003-8714
Phone:
206-212-2100
Fax:
206-212-2194
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6608038013
Enrollment ID:
I20120501000708
NPI Number:
1174631899
NPI Enumeration Date:
25 Aug, 2006
NPI Last Update On:
03 Jan, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley Alan Frederickson are as mentioned below.
License Number
Specialization
State
Status
OD00003074
Optometry
Washington
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bradley Alan Frederickson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Evergreen Eye Center Inc Ps (3173410057)
11
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bradley Alan Frederickson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0870427
Other
Washington
AETNA GROUP PROVIDER NUMB
91162803298116A005
Other
Washington
TRICARE & WPS BURIEN #
2017242
Medicaid
Washington
2187FR
Other
Washington
REGENCE BURIEN RYDER #
FR5328
Other
Washington
REGENCE AUBURN RYDER #
59460
Other
Washington
L&I GROUP NUMBER
891451
Other
Washington
CRIME VICTIMS GROUP NUMBE
911628032
Other
Washington
BLUE CROSS BILLING ID #
91162803298002A003
Other
Washington
TRICARE & WPS AUBURN #
FR8712
Other
Washington
REGENCE FEDERAL WAY RYDER
2017259
Medicaid
Washington
410028421
Other
Washington
RAILROAD MEDICARE NUMBER
91162803298003A003
Other
Washington
TRICARE & WPS FEDERAL WAY
59461
Other
Washington
L & I INDIVIDUAL NUMBER
EV8144
Other
Washington
REGENCE GROUP EEC #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
34719 6th Ave S, Federal Way, Washington
Zip:
98003-8714
Phone Number:
206-212-2100
Fax Number:
206-212-2194
Patients can reach Dr. Bradley Alan Frederickson at 34719 6th Ave S, Federal Way, Washington or can call to book an appointment on 206-212-2100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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