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Individual

DR. FREDERICK ROLLAND EDMUNDS JR.

Active
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Individual

DR. FREDERICK ROLLAND EDMUNDS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4397
NY
152W00000X
Optometrist
T004397-1
NY
152WC0802X
Corneal and Contact Management Optometrist
T004397-1
NY
152WS0006X
Sports Vision Optometrist
Primary
T004397-1
NY
152WV0400X
Vision Therapy Optometrist
T004397-1
NY

Other

Enumeration date
11/21/2006
Last updated
07/06/2023
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