Active NPIIndividual providerSole proprietor

Dr. Craig C Riddle, OD

Optometrist in Brick, New Jersey

NPI Number1902003569
Practice location
359 Brick Blvd, Brick, NJ 08723-6010
Fax
732-920-1370
Last updated
November 19, 2022

Craig C Riddle is an Optometrist based in Brick, NJ. Craig C Riddle practices in Brick, NJ and has the professional credentials of OD. The NPI Number for Craig C Riddle is 1902003569 and holds a License No. 270A00476500 (NJ). The current practice location address for Craig C Riddle is 359 Brick Blvd, Brick, NJ 08723-6010 and can be reached out via phone at 732-920-1330 and via fax at 732-920-1370.

Provider Profile Details

NPI Number
1902003569
Provider Name
Craig C Riddle
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
359 Brick Blvd, Brick, NJ 08723-6010
Phone Number
732-920-1330
Fax Number
732-920-1370
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 28, 2007
Last Update Date
November 19, 2022
Certification Date
November 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
359 Brick Blvd
Brick, NJ 08723-6010
City
Brick
Zip
08723-6010
Phone Number
732-920-1330
Fax Number
732-920-1370
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
Po Box 208944
Dallas, TX 75320-8944
City
Dallas
State
TX
Zip
75320-8944
Phone Number
636-200-4393
Fax Number
636-527-0766

License Information

License Number
270A00476500
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Craig C Riddle, OD?

The NPI number of Dr. Craig C Riddle, OD is 1902003569. It was assigned on June 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Craig C Riddle, OD?

Dr. Craig C Riddle, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 270A00476500.

Where does Dr. Craig C Riddle, OD practice?

The practice location is 359 Brick Blvd, Brick, NJ 08723-6010. The office can be reached at 732-920-1330 (phone) or 732-920-1370 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902003569 directly on the NPPES registry website.

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