Provider Demographics
NPI:1124450960
Name:FRERE, BRITTANY A (OD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:FRERE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:A
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:933 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1000
Mailing Address - Country:US
Mailing Address - Phone:508-673-2020
Mailing Address - Fax:508-672-9568
Practice Address - Street 1:933 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1000
Practice Address - Country:US
Practice Address - Phone:508-673-2020
Practice Address - Fax:508-672-9568
Is Sole Proprietor?:No
Enumeration Date:2013-08-03
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00600152W00000X
MA4984152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110102331AMedicaid
MA110102331AMedicaid