MEDICARE: EARLE C. SCHREIBER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1700X	Ocularist	NOT REQUIRED	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396808820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARLE C. SCHREIBER, INC.

Provider Business Mailing Address
First Line	:	1 BETHANY RD
Second Line	:	SUITE 13
City	:	HAZLET
State	:	NJ
Zip	:	07730-1659
Country	:	US
Telephone Number	:	732-335-1424
Fax Number	:	732-335-1420

Provider Business Practice Location Address
First Line	:	1 BETHANY RD
Second Line	:	SUITE 13
City	:	HAZLET
State	:	NJ
Zip	:	07730-1659
Country	:	US
Telephone Number	:	732-335-1424
Fax Number	:	732-335-1420

Authorized Official
Title or Position	:	BOARD CERTIFIED OCULARIST - PRESIDE
Name	:	MS. MARGERY SCHREIBER WRIGHT
Credential	:	B.C.O.
Telephone Number	:	732-335-1424

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	08/22/2020

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