GARY W. FREDERICKSEN

WILLIAMSBURG, VA
NPI1629035225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618000905)
Enumeration Date2006-04-27
Last Update Date2013-11-27
Business Address
-- GARY W. FREDERICKSEN OD
120 KINGS WAY SUITE 1300
WILLIAMSBURG, VA 23185-2505
Phone number: 757-345-3001
Mailing Address
-- GARY W. FREDERICKSEN OD
856 J CLYDE MORRIS BLVD SUITE A
NEWPORT NEWS, VA 23601-1318
Phone number: