John Charles Frederick in Bettendorf - Ophthalmology
John Charles Frederick - NPI 1043297492
John Charles Frederick is a Ophthalmology in Bettendorf, Iowa. John Charles Frederick practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for John Charles Frederick is 1043297492. The last update date is 2018-08-14.
John Charles Frederick's current location address is 777 Tanglefoot Ln, Bettendorf, Iowa. You can contact this provider via phone number 5633232020 and fax number 5633285694. The mailing address for John Charles Frederick is 777 Tanglefoot Ln, Bettendorf, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Charles Frederick |
|---|---|
| Address | 777 Tanglefoot Ln, Bettendorf, Iowa |
| Phone Number | 5633232020 |
| Fax Number | 5633285694 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1043297492 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2018-08-14 |
Provider Mailing Address Detail
| Address | 777 Tanglefoot Ln |
|---|---|
| City | Bettendorf |
| State | Iowa (IA) |
| Post Code | 527221650 |
| Phone Number | 5633232020 |
| Fax Number | 5633285694 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 32467 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26568 | IA | IA GROUP MEDICARE | |
| 790730 | IL | IL GROUP MEDICARE | |
| 60350 | IA | IA GROUP MEDICAID | |
| 170860 | IA | -- | |
| 36098033 | IL | -- |
Post Comment/ Review Below
What is the John Charles Frederick's unique identification number?
The John Charles Frederick has been assigned the NPI (National Provider Identifier) Number 1043297492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where John Charles Frederick's facilities are situated?
The facilities of John Charles Frederick are physically located at the following address: 777 Tanglefoot Ln, Bettendorf, IA, 527221650.
What is John Charles Frederick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Charles Frederick's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
When did the John Charles Frederick receive its 1043297492?
The John Charles Frederick was issued its 1043297492 on 2005-12-28, which is the date when the organization was assigned this unique identifier.
When was the John Charles Frederick's information last updated?
The John Charles Frederick's information was last updated on 2018-08-14.