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Active NPI 1972696722 Individual Practitioner Female Practitioner

Dr. Lisa Frederickson , OD

Optometrist • Kenai, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Frederickson, OD is a certified Optometrist practicing in Kenai, AK. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Frederickson delivers high-quality medical care to the local community at 508 UPLAND ST.

Dr. Frederickson is affiliated with Kenaitze Indian Tribe and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

508 Upland St

Kenai, AK 996118026

Telephone 9073357305
Fax 8884913360
Associated Practice Facility / Clinic
🏢 Kenaitze Indian Tribe Facility NPI 1932114600

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Kenai, AK

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +12.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Kenai, AK (206 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frederickson (30 Years) 30 Yrs
Kenai Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
14 13 $280.00 $104.93

Medical Specialties & State Licenses

CMS Verified: 2026-04-13
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AK 199077

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WA 3574-TX

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1733721 (AK)
Commercial Insurance / Payer ID Regence
2030FR (WA)
Commercial Insurance / Payer ID Triwest
510445794 (WA)
Commercial Insurance / Payer ID Nbn
WA-0928 (WA)
Commercial Insurance / Payer ID Davis
49034 (WA)
Commercial Insurance / Payer ID Spectera
19068 (WA)

Hospital & Practice Group Affiliations

Kenaitze Indian Tribe

508 Upland St, Kenai, AK 996118026

Phone: 9073357500

Secondary Practice Locations

206 W Rockwell Ave

Soldotna, AK 996697439

Phone: 9073357500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. John Selden , DDS

Dentist - General Practice

NPI 1013134360

Doctor of Dental Surgery

NPI 1083606461

Doctor of Medicine (M.D.)

Marion Ruth , FNP-C

Nurse Practitioner - Family

NPI 1740789288

Family Nurse Practitioner (Certified)

Dr. Laina Cafego , DO

Family Medicine

NPI 1831539378

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address April 13, 2026

Registered at PO BOX 84101, SEATTLE, WA 981245401 (Tel: 9073357500)

📍
Updated Practice Location February 21, 2024

Registered at 508 UPLAND ST, KENAI, AK 996118026 (Tel: 9073357305)

📍
Updated Business Mailing Address February 21, 2024

Registered at PO BOX 2409, KENAI, AK 996112409 (Tel: 2533248764)

👤
Provider Name / Credentials Updated February 21, 2024

Recorded as LISA FREDERICKSON, O.D.

NPI Profile Active July 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2017

Registered at 2202 LIGGET AVE, JOINT BASE LEWIS MCCHORD, WA 984332011 (Tel: 2539644140)

📍
Updated Business Mailing Address July 28, 2017

Registered at 1314 182ND STREET CT E, SPANAWAY, WA 983871917 (Tel: (253) 324-8764)

👤
Provider Name / Credentials Updated July 28, 2017

Recorded as LISA MAPURANGA, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2017

Optometrist (License #3574-TX in WA)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 20307 MTN HWY E, SPANAWAY, WA 98387 (Tel: 2538466503)

📍
Updated Business Mailing Address July 09, 2007

Registered at 20307 MTN HWY E, SPANAWAY, WA 98387 (Tel: 2538466503)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as LISA FREDERICKSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #3574-TX in WA)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972696722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: April 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 84101

Seattle, WA 981245401

Phone: 9073357500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.