Active NPI
William Joseph Fridel III, O.D.
- Optometrist
- Woodbridge, NJ
National Provider Identifier
1861413973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA005921
- Practice address
- 306 US Highway 9 N
Woodbridge, NJ 07095-1004 - Phone
- (732) 826-6932
- Fax
- (732) 826-6936
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA005921 | NJ | Primary |
Addresses
Primary practice location
306 US Highway 9 N
Woodbridge, NJ 07095-1004
Mailing address
6 Russell CT
Matawan, NJ 07747-7100
Phone (732) 826-6932
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27OA005921 | NJ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861413973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 RUSSELL CT",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077477100",
"telephone_number": "732-826-6932",
"fax_number": "732-826-6936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 US HIGHWAY 9 N",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951004",
"telephone_number": "732-826-6932",
"fax_number": "732-826-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDEL",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA005921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.