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
- City
- New Castle
- State
- Pennsylvania
- 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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