| |
17 Racetrack Rd Nw, Suite A, Fort Walton Beach, FL 32547-4616 | |
(850) 862-9595 | |
(850) 862-0099 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 17 Racetrack Rd Nw, Fort Walton Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649366774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC1985 (Florida) | Primary |
Provider Name | Michael Alan Fregger |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316942311 PECOS PAC ID: 0648356006 Enrollment ID: I20080325000636 |
Mailing Address | Practice Location Address |
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17 Racetrack Rd Nw, Suite A, Fort Walton Beach, FL 32547-4616 Ph: (850) 862-9595 | 17 Racetrack Rd Nw, Suite A, Fort Walton Beach, FL 32547-4616 Ph: (850) 862-9595 |
Angelica Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 778 Beal Pkwy Nw, Fort Walton Beach, FL 32547 Phone: 850-586-7888 | |
George D. Edlund O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 50 Ne Eglin Parkway, Fort Walton Beach, FL 32548 Phone: 850-244-5577 Fax: 850-244-4868 | |
Dr. Michael Alan Fregger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17 Racetrack Rd Nw, Ste A, Fort Walton Beach, FL 32547 Phone: 850-862-9595 Fax: 850-862-0099 |