DR. Fredrick J Pembroke OD

  • NPI 1578582573
According to our database, the NPI number for DR. Fredrick J Pembroke OD is 1578582573 and activated since 17 years ago. DR. Fredrick J Pembroke OD is an individual provider who specializes in Optometrist, and the primary practice location is 1001 N Grand Ave, Tahlequah, OK 74464. You can also contact DR. Fredrick J Pembroke OD via telephone number is (918) 458-2109. Provider NPI information was last updated on 08/31/2010.

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Overview of DR. Fredrick J Pembroke OD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/19/2006
  • Last updated: 08/31/2010

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 882
  • License State: OK

Provider Mailing Address

  • Address: 1001 N Grand Ave
    Tahlequah, OK 74464
  • Phone: 918-456-5511
  • Fax:

Provider Practice Location

  • Address: 1001 N Grand Ave
    Tahlequah, OK 74464
  • Phone: 918-458-2109
  • Fax: 918-458-2310

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 882
  • License State: OK
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 200055580A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Fredrick J Pembroke OD?
  • A: The npi number for DR. Fredrick J Pembroke OD is 1578582573.
  • Q: What are DR. Fredrick J Pembroke OD's specialties?
  • A: DR. Fredrick J Pembroke OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for DR. Fredrick J Pembroke OD?
  • A: The medical license number for DR. Fredrick J Pembroke OD is 882 and issued in OK in USA.
  • Q: Where is DR. Fredrick J Pembroke OD practice location?
  • A: DR. Fredrick J Pembroke OD is practicing at 1001 N Grand Ave, Tahlequah, OK 74464.
  • Q: How to contact DR. Fredrick J Pembroke OD?
  • A: You can contact DR. Fredrick J Pembroke OD via 918-458-2109.