William Charles Fruchtman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00514400 Issued in NJ

Practice address

196 Paterson Ave
East Rutherford, NJ 07073-1841

Phone

(201) 728-9222

Fax

(201) 728-9229

NPI assigned

May 11, 2006

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• William C. Fruchtman OD PA

  • Optometrist
  • East Rutherford, NJ
  • NPI 1407881667
  Medicare reassignment Authorized official
• William C. Fruchtman OD PA

  • Optometrist
  • East Rutherford, NJ
  • NPI 1922282763
  NPD (past) Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1447200241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-728-9222",
            "fax_number": "201-728-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-728-9222",
            "fax_number": "201-728-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9009 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337774152",
            "country_code": "US",
            "telephone_number": "727-393-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRUCHTMAN",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00514400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4590902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher M Ford, PT
• Dina Ford, RDN
• Elliot Foster, D.C.
• Caryn French, ATC, LAT
• Bernard Friedman, M.D.
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• Go Life LLC
• Evelina Goldson
• Ashley R Griglak
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• Optometrist in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.