Individual
BRETT FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
950 CIRCLE DR, SALINAS, CA 93905-2150
(831) 757-1264
(831) 757-4812
Mailing address
322 30TH AVE, SANTA CRUZ, CA 95062-5443
(831) 566-0875
(831) 462-5937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12576T
CA
Other
Enumeration date
03/25/2007
Last updated
12/28/2011
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