NPIMap

Organization Active NPI

Friedberg Eye Associates PA

  • Optometrist
  • Woodbury, NJ
National Provider Identifier
1780559641
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FRIEDBERG EYE ASSOCIATES PA
Practice address
661 N Broad St
Woodbury, NJ 08096-1621
Phone
(856) 845-7968
Fax
(856) 845-7968
NPI assigned
Oct 9, 2025
Organization subpart
Yes
Parent organization
FRIEDBERG EYE ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Kelly Lyn Otero
Title
Billing Manager
Phone
(856) 845-7968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

661 N Broad St
Woodbury, NJ 08096-1621

Mailing address

661 N Broad St
Woodbury, NJ 08096-1621
Phone (856) 845-7968

Other practice location 1

5 Myers Dr Ste 101
Mullica Hill, NJ 08062-9517
Phone (856) 845-7968

National Provider Directory

National Provider Directory
Tax ID family
Friedberg Eye Associates PA4 organizations share this tax ID, including this one
Part of
Friedberg Eye Associates PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1780559641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961621",
            "telephone_number": "856-845-7968",
            "fax_number": "856-845-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961621",
            "telephone_number": "856-845-7968",
            "fax_number": "856-845-7968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Myers Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080629517",
            "country_code": "US",
            "telephone_number": "856-845-7968",
            "fax_number": "856-345-1792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRIEDBERG EYE ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIEDBERG EYE ASSOCIATES PA",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-845-7968"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.