Provider Demographics
NPI:1316165368
Name:FERENCE, WILLIAM JOHN (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
Last Name:FERENCE
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:170 CHANGEBRIDGE RD
Mailing Address - Street 2:B-5
Mailing Address - City:MONTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07045-9114
Mailing Address - Country:US
Mailing Address - Phone:973-835-7000
Mailing Address - Fax:973-835-7079
Practice Address - Street 1:170 CHANGEBRIDGE RD
Practice Address - Street 2:B-5
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9114
Practice Address - Country:US
Practice Address - Phone:973-835-7000
Practice Address - Fax:973-835-7079
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2021-11-10
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Provider Licenses
StateLicense IDTaxonomies
NJ27OA00539800152WC0802X, 152WP0200X, 152WS0006X, 152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
U58491Medicare UPIN
NJ689029Medicare PIN