Individual
DR. FREDERICK ROLLAND EDMUNDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
274 W MAIN ST, VICTOR, NY 14564-1157
(585) 880-4818
Mailing address
7745 PEEPERS HOLW, VICTOR, NY 14564-8914
(585) 924-3688
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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