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Brett Fredericksen, OD — NPI 1194392845, Boise, ID | NPI Central

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NPI 1194392845

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Brett Fredericksen, OD

NPI 1194392845 · Optometrist · Boise, ID

Provider details

NPI number: 1194392845
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: ODP-100533 (ID)

Practice location

291 N Milwaukee St Ste A-3

Boise, ID 83704-9132

Phone: (833) 776-2020

Fax: (208) 297-5718

More ID providers

Mailing address

3485 N Cole Rd Unit 45479

Boise, ID 83711-1095

Registry dates

Enumerated: 2021-06-09
Last updated: 2021-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.