Frederick E Slater

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5101T Issued in CA

Practice address

1875 S Bascom Ave
Suite 110
Campbell, CA 95008-2310

Phone

(408) 377-1212

Fax

(408) 377-3419

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Frederick E Slater

  • Optometrist
  • Campbell, CA
  • NPI 1396952669
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1275526220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 S BASCOM AVE",
            "address_2": "SUITE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082310",
            "telephone_number": "408-377-1212",
            "fax_number": "408-377-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 S BASCOM AVE",
            "address_2": "SUITE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082310",
            "telephone_number": "408-377-1212",
            "fax_number": "408-377-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "FREDERICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5101T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA OPTOMETRIC LIC. #",
            "identifier": "T5101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silicon Valley Surgery Center, LP
• Kaila Silveira, DPT
• Jamie Lynn Silzer, RPH
• Sir Norman T. Melancon, MD PC
• Skylight Behavioral Therapy, Inc.
• Laura Slater
• Kristy Slibsager
• Warren Malcolm Sloan, D.C.
• Carlos Roberto Smith, A.S.W.
• Casey Ryan Smith

• Corneal and Contact Management Optometrist in Campbell, CA
• Providers in Campbell, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.