Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bradley Alan Frederickson, OD

Individual provider Optometrist · NPI 1174631899

Dr. Bradley Alan Frederickson, OD is an Optometry in Federal Way, Washington. Graduated from Pacific University - College of Optometry in 1989, 37 years ago. Practices with Evergreen Eye Center PLLC, a 33-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
37
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

34719 6th Ave S
Federal Way, WA 98003-8714
Phone: (206) 212-2100
Fax: (206) 212-2194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD00003074 (WA)

Record details

NPI number1174631899
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1989 (37 years in practice)
Group practice Evergreen Eye Center Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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