Individual
DR. FREDERIC K NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
22 W 13TH ST, NEW YORK, NY 10011-7902
(212) 807-0019
(212) 727-2395
Mailing address
22 W 13TH ST, NEW YORK, NY 10011-7902
(212) 807-0019
(212) 727-2395
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
003280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330025
—
NY
01
—
0035445
GHI
NY
01
—
110684
EYEMED
NY
01
—
1C7757
HEALTHNET
NY
01
—
201720P
HIP
NY
01
—
56329
AETNA
NY
01
—
P673941
OXFORD
NY
Enumeration date
08/31/2006
Last updated
09/03/2008
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