Organization Active NPI

Douglas R. Manhire Guild Opticians

  • Durable Medical Equipment & Medical Supplies
  • Hackettstown, NJ
National Provider Identifier
1164609236
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
D775 Issued in NJ
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

Updated by the provider on Mar 9, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1295746204OtherNJNPI
39513OtherNJDAVIS
2908107MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.