Individual provider Active NPI

William Stephen Fensch, O.D.

  • Optometrist
  • Runnemede, NJ
National Provider Identifier
1154451607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00362100 Issued in NJ
Practice address
700 E Clements Bridge Rd
Runnemede, NJ 08078-1455
Phone
(856) 939-8000
Fax
(856) 939-8001
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00362100 NJ Primary

Addresses

Primary practice location

700 E Clements Bridge Rd
Runnemede, NJ 08078-1455

Mailing address

700 E Clements Bridge Rd
Runnemede, NJ 08078-1455
Phone (856) 939-8000

Other identifiers 1

IdentifierTypeStateIssuer
1955501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154451607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E CLEMENTS BRIDGE RD",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781455",
            "telephone_number": "856-939-8000",
            "fax_number": "856-939-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E CLEMENTS BRIDGE RD",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781455",
            "telephone_number": "856-939-8000",
            "fax_number": "856-939-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSCH",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00362100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Runnemede, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.