Individual provider Active NPI

Kimberly K Friedman, OD

  • Optometrist
  • Moorestown, NJ
National Provider Identifier
1760481949
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA 05126 Issued in NJ
Practice address
301 N Church St
Suite 201
Moorestown, NJ 08057-2498
Phone
(856) 235-2620
Fax
(856) 235-0842
NPI assigned
Jul 19, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA 05126 NJ Primary

Addresses

Primary practice location

301 N Church St
Suite 201
Moorestown, NJ 08057-2498

Mailing address

301 N Church St
Suite 201
Moorestown, NJ 08057-2498
Phone (856) 235-2620

Other identifiers 6

IdentifierTypeStateIssuer
5021201MedicaidNJ
22838OtherNJAMERIGROUP
113989OtherNJAETNA
223294272-009OtherNJCIGNA
2K6645OtherNJHEALTHNET
0945160001OtherNJDMERC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050805000046 NJ Practitioner - Optometry 8022061803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moorestown Eye AssociatesGroup PAC ID 4587617360, 6 clinicians

Practice addresses (Care Compare)

301 N Church St
Suite 201
Moorestown, NJ 08057-2498
Phone (856) 235-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA 05126NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moorestown Eye Associates Optometrist CurrentSince Sep 11, 1992 Accepting new patients

Locations

301 N Church St
Ste 201
Moorestown, NJ 08057
Phone (856) 235-2620

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760481949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N CHURCH ST",
            "address_2": "SUITE 201",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572498",
            "telephone_number": "856-235-2620",
            "fax_number": "856-235-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CHURCH ST",
            "address_2": "SUITE 201",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572498",
            "telephone_number": "856-235-2620",
            "fax_number": "856-235-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 05126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5021201",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "22838",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "113989",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "223294272-009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K6645",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0945160001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.