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

Individual provider Optometrist · NPI 1629035225

Gary W. Fredericksen, OD is an Optometry in Williamsburg, Virginia. Graduated from New England College of Optometry in 1981, 45 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
45
Trained at
New England College of Optometry
Licensed in
VA
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

120 Kings Way Ste 1300
Williamsburg, VA 23185-2505
Phone: (757) 345-3001
Fax: (757) 345-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618000905 (VA)

Record details

NPI number1629035225
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESNovember 27, 2013
Mailing address856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601-1318

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 1981 (45 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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