Individual
DR. SHANE WILLIAM FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2438 RESEARCH PKWY STE 200, COLORADO SPRINGS, CO 80920-1094
(719) 599-5083
Mailing address
2438 RESEARCH PKWY STE 200, COLORADO SPRINGS, CO 80920-1094
(719) 599-5083
(195) 993-2917
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1660
SC
152W00000X
Optometrist
Primary
OPT 0002957
CO
Other
Enumeration date
10/26/2011
Last updated
04/22/2024
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