William C. Fruchtman Od Pa

LBN: William C. Fruchtman Od Pa
William C. Fruchtman Od Pa is an health care organization with primary practice located at 196 Paterson Ave , East Rutherford NJ 07073-1841. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. William C. Fruchtman Od Pa can be contacted via phone (201) 728-9222, or through Fruchtman, William Charles via phone (201) 728-9222.

Contact Information

Primary practice address
196 Paterson Ave East Rutherford NJ 07073-1841
Phone: (201) 728-9222
Fax: (201) 728-9229
Website:
Map and Directions
Authorized official contact:
Name: Fruchtman, William Charles Doctor of Optometry (OD)
Phone: (201) 728-9222

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00514400 New Jersey

Profile Details

NPI number 1922282763
LBN Legal business name William C. Fruchtman Od Pa
DBA Doing business as
Authorized official Fruchtman, William Charles Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922282763 NPPES
New Jersey MEDICAID 4590902

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