Individual
DR. FREDERICK PRINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
691 SHOSHONE ST N, TWIN FALLS, ID 83301-6154
(208) 733-1067
(208) 733-7597
Mailing address
691 SHOSHONE ST N, TWIN FALLS, ID 83301-6154
(208) 733-1067
(208) 733-7597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD485
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015377
BLUE SHIELD OF IDAHO
ID
01
—
V5673
BLUE CROSS OF IDAHO
ID
Enumeration date
10/31/2006
Last updated
07/08/2007
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