NPI 1366735623 · live from the CMS NPI Registry
Paul Adam Frederick, M.D.
Ophthalmology in Huntsville, AL. National Provider Identifier 1366735623, active.
NPI record
| NPI | 1366735623 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 401 Meridian St N Ste 200, Huntsville, AL 35801 |
| Practice phone | 256-705-3937 |
| Enumerated | May 19, 2011 |
| Last updated | July 17, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | R2751 (KY) |
| Ophthalmology primary | 207W00000X | md.35139 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.