Organization Active NPI

Fridel Eye Associates, P.a.

  • Optometrist
  • Asbury Park, NJ
National Provider Identifier
1578624037
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA005921 Issued in NJ
Legal business name
FRIDEL EYE ASSOCIATES, P.A.
Practice address
516 Bangs Ave
Asbury Park, NJ 07712-6902
Phone
(732) 775-3805
Fax
(732) 775-3807
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. William Joseph Fridel III, OD
Title
Owner Optometric Physician
Phone
(732) 775-3805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 27OA005921 NJ Primary

Addresses

Primary practice location

516 Bangs Ave
Asbury Park, NJ 07712-6902

Mailing address

516 Bangs Ave
Asbury Park, NJ 07712-6902
Phone (732) 775-3805

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1578624037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BANGS AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126902",
            "telephone_number": "732-775-3805",
            "fax_number": "732-775-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BANGS AVE",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077126902",
            "telephone_number": "732-775-3805",
            "fax_number": "732-775-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIDEL EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "FRIDEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "732-775-3805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA005921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.