Frederick, John Charles

Frederick, John Charles is an individual health care provider with primary practice located at 777 Tanglefoot Ln Eye Surgeons Associates Pc, Bettendorf IA 52722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Frederick, John Charles can be contacted via phone (563) 323-2020.

Contact Information

Primary practice address
777 Tanglefoot Ln Eye Surgeons Associates Pc Bettendorf IA 52722
Phone: (563) 323-2020
Fax: (563) 328-5694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 32467 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-098033 Illinois

Profile Details

NPI number 1043297492
LBN Legal business name Frederick, John Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Aug 14th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043297492 NPPES
Iowa Other 26568 IA GROUP MEDICARE
Iowa Other 790730 IA GROUP MEDICARE
Iowa Other 0060350 IA GROUP MEDICARE
Iowa MEDICAID 0170860 IA GROUP MEDICARE
Iowa MEDICAID 036098033 IA GROUP MEDICARE

Popular Providers