William C. Fruchtman OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00514400 Issued in NJ

Legal business name

WILLIAM C. FRUCHTMAN OD PA

Practice address

196 Paterson Ave
East Rutherford, NJ 07073-1841

Phone

(201) 728-9222

Fax

(201) 728-9229

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Charles Fruchtman, ODNPI 1447200241

Title

Optometric Physician

Phone

(201) 728-9222

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Charles Fruchtman, O.D.

  • Optometrist
  • East Rutherford, NJ
  • NPI 1447200241
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1922282763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-728-9222",
            "fax_number": "201-728-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PATERSON AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731841",
            "telephone_number": "201-728-9222",
            "fax_number": "201-728-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. FRUCHTMAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "FRUCHTMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "201-728-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00514400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4590902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Aloysius Walsh, ATC,LAT
• Leigh Jordan Weiss, ATC, PT/DPT
• Wellness One & Rehabilitation LLC
• Wellness One of South Bergen
• William C. Fruchtman OD PA
• Zharex Mendoza Zafra, PT
• Zoelle Partners, LLC (Amada Senior Care Hoboken)

• Optometrist in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.