Provider Demographics
NPI:1396808820
Name:EARLE C. SCHREIBER, INC.
Entity type:Organization
Organization Name:EARLE C. SCHREIBER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED OCULARIST - PRESIDE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGERY
Authorized Official - Middle Name:SCHREIBER
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:BCO
Authorized Official - Phone:732-335-1424
Mailing Address - Street 1:1 BETHANY RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:HAZLET,
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1659
Mailing Address - Country:US
Mailing Address - Phone:732-335-1424
Mailing Address - Fax:732-335-1420
Practice Address - Street 1:1 BETHANY RD
Practice Address - Street 2:SUITE 13
Practice Address - City:HAZLET,
Practice Address - State:NJ
Practice Address - Zip Code:07730-1659
Practice Address - Country:US
Practice Address - Phone:732-335-1424
Practice Address - Fax:732-335-1420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNOT REQUIRED156FX1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4057503Medicaid
NJ4057503Medicaid