Brett David Freitag, OD
Optometrist in Crystal Lake, IL. Individual provider (NPI-1).
NPI number1164037495
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1164037495
- Entity type
- Individual (NPI-1)
- Name
- Brett David Freitag
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2020
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046011472 | IL | Yes |
Practice location
5006 Northwest HwyCrystal Lake, IL 60014-7339
Phone 779-205-0315
Mailing address
3 Shadow Creek CtLake In The Hills, IL 60156-5930
Phone 815-236-7278
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All 33 Optometrist providers in Crystal Lake · All 1,922 providers in Crystal Lake
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