Individual
FRED D. ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2800 11TH AVE S STE 14, GREAT FALLS, MT 59405-5263
(406) 455-2020
Mailing address
2800 11TH AVE S STE 14, GREAT FALLS, MT 59405-5263
(406) 455-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4435 T1159
OH
152W00000X
Optometrist
Primary
834
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0932003
—
OH
Enumeration date
03/18/2006
Last updated
10/31/2012
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