Craig C Riddle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00476500 Issued in NJ

Practice address

359 Brick Blvd
Brick, NJ 08723-6010

Phone

(732) 920-1330

Fax

(732) 920-1370

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Physicians of Middletown PAGroup PAC ID 8527153410, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Optometric Physicians of Middletown PA

  • Optometrist
  • Middletown, NJ
  • NPI 1457354037

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD
• Invision Eyecare Specialists

  • Ophthalmology Physician
  • Lakewood, NJ
  • NPI 1578030011

  NJ, Optometrist

  Medicare reassignment NPD
• Optometric Physicians of Middletown PA

  • Optometrist
  • Red Bank, NJ
  • NPI 1679151823
  NPD
• Optometric Physicians of Middletown PA

  • Optometrist
  • Toms River, NJ
  • NPI 1801474960
  NPD
• Keith Gurland, M.D.

  • Specialist
  • Bayonne, NJ
  • NPI 1518496843
  NPD (past)
• Optometric Physicians of Middletown PA

  • Optometrist
  • Eatontown, NJ
  • NPI 1962080101
  NPD (past)
• Specs Unlimited Inc.

  • Ophthalmology Physician
  • Bayonne, NJ
  • NPI 1265674345
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1902003569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208944",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208944",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236010",
            "telephone_number": "732-920-1330",
            "fax_number": "732-920-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "07002",
            "country_code": "US",
            "telephone_number": "201-339-1266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Route 70 Unit B1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NJ",
            "postal_code": "087595804",
            "country_code": "US",
            "telephone_number": "732-657-1400",
            "fax_number": "732-657-1402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NJ",
            "postal_code": "077483410",
            "country_code": "US",
            "telephone_number": "732-671-7300",
            "fax_number": "732-706-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3013 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301526",
            "country_code": "US",
            "telephone_number": "732-739-4000",
            "fax_number": "732-739-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Highway 35",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077241883",
            "country_code": "US",
            "telephone_number": "732-542-3050",
            "fax_number": "732-542-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Monmouth St",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011613",
            "country_code": "US",
            "telephone_number": "732-530-5151",
            "fax_number": "732-842-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Highway 35 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Sea Girt",
            "state": "NJ",
            "postal_code": "087502323",
            "country_code": "US",
            "telephone_number": "732-223-2800",
            "fax_number": "732-223-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "CRAIG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00476500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina M Reynolds
• Veyola Romany Rezkalla
• Laith Husein Rhabneh, M.D
• Pamela Bastos Ribeiro, MD
• Richard G. Fernicola, MD
• Anthony Riello, D.C.
• Melissa Ann Riemann
• James Clifford Rigby, DMD
• Amanda Rose Riley, NP
• Mary Eleanor Risden, LPC

• Optometrist in Brick, NJ
• Providers in Brick, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.