Active NPI
Fred John Ehret III
- Optician
- Brick, NJ
National Provider Identifier
1477335685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- TD4053
- Practice address
- 1872 Route 88
Brick, NJ 08724-3535 - Phone
- (732) 458-1794
- Fax
- (732) 785-8351
- NPI assigned
- Oct 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | TD4053 | NJ | Primary |
Addresses
Primary practice location
1872 Route 88
Brick, NJ 08724-3535
Mailing address
1872 Route 88
Brick, NJ 08724-3535
Phone (732) 458-1794
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TD4053 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1477335685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1872 ROUTE 88",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243535",
"telephone_number": "732-458-1794",
"fax_number": "732-785-8351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1872 ROUTE 88",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243535",
"telephone_number": "732-458-1794",
"fax_number": "732-785-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRET",
"first_name": "FRED",
"middle_name": "JOHN",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "TD4053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
- Eastern Dental of Ocean/Monmouth, LLC
- Donna Ebberup Ciervo
- Michael Ralph Eberhardt, MS, PA-C, LAT, ATC
- Econo-Med Transportation Inc
- Artiom Daniel Efimenko, DO
- Itta Eidensohn, LSW
- Eihab Human Services New Jersey, Inc.
- Eihab Human Services New Jersey, Inc.
- Eihab Human Services New Jersey, Inc.
- Eileen McCarthy-Sittig, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.