Ivy Elaine Frederick, Od, LLC

NPI #1053548396 in New Castle, Pennsylvania

Provider Information

NPI Number
1053548396
Entity Type
Organization
Organization Name
Ivy Elaine Frederick, Od, LLC
Primary Specialty
Optometrist
Enumeration Date
Jun 13, 2009
Last Updated
Jun 28, 2009

Practice Location

Address
2501 W STATE ST
ZIP Code
16101-1039
Phone
(724) 657-9686

Authorized Official

Name
IVY FREDERICK
Title
OPTOMITRIST
Phone
(724) 924-1799

Specialties & Taxonomy Codes

Specialty
Optometrist

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