Active NPI
Douglas R. Manhire Guild Opticians
- Durable Medical Equipment & Medical Supplies
- Hackettstown, NJ
National Provider Identifier
1164609236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- D775
- Legal business name
- DOUGLAS R. MANHIRE GUILD OPTICIANS
- Practice address
- 171 Mountain Ave
Hackettstown, NJ 07840-2418 - Phone
- (908) 852-6623
- Fax
- (908) 852-2334
- NPI assigned
- Jan 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dougla R Manhire, OPTICIAN
- Title
- Owner
- Phone
- (908) 852-6623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | D775 | NJ | Primary |
Addresses
Primary practice location
171 Mountain Ave
Hackettstown, NJ 07840-2418
Mailing address
171 Mountain Ave
Hackettstown, NJ 07840-2418
Phone (908) 852-6623
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295746204 | Other | NJ | NPI |
| 39513 | Other | NJ | DAVIS |
| 2908107 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
171 Mountain Ave
Hackettstown, NJ 07840
Phone (908) 852-0406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1164609236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MOUNTAIN AVE",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402418",
"telephone_number": "908-852-6623",
"fax_number": "908-852-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MOUNTAIN AVE",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402418",
"telephone_number": "908-852-6623",
"fax_number": "908-852-2334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS R. MANHIRE GUILD OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "MANHIRE",
"authorized_official_first_name": "DOUGLA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-852-6623",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "D775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1295746204",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "39513",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2908107",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.