Provider Demographics
NPI:1780559641
Name:FRIEDBERG EYE ASSOCIATES PA
Entity type:Organization
Organization Name:FRIEDBERG EYE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-845-7968
Mailing Address - Street 1:661 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-1621
Mailing Address - Country:US
Mailing Address - Phone:856-845-7968
Mailing Address - Fax:856-845-7968
Practice Address - Street 1:661 N BROAD ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1621
Practice Address - Country:US
Practice Address - Phone:856-845-7968
Practice Address - Fax:856-845-7968
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIEDBERG EYE ASSOCIATES PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty