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

Dr. Lisa Frederickson, OD

Individual provider Optometrist · NPI 1972696722

Dr. Lisa Frederickson, OD is an Optometry in Kenai, Alaska. Qualified in 1996, 30 years ago. Practices with Kenaitze Indian Tribe, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Washington.

Years since qualifying
30
Licensed in
AK, WA
In the registry since
2006
Specialties on file
2
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

508 Upland St
Kenai, AK 99611-8026
Phone: (907) 335-7305
Fax: (888) 491-3360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 206 W Rockwell Ave, Soldotna, AK 99669-7439 — (907) 335-7500

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 199077 (AK)
Optometrist Taxonomy 152W00000X · Licence 3574-TX (WA)

Record details

NPI number1972696722
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing addressPo Box 84101, Seattle, WA 98124-5401

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Kenaitze Indian Tribe — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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