NPIMap

Organization Active NPI

Manchester Brick Vision Center

  • Optometrist
  • Brick, NJ
National Provider Identifier
1184779688
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NJ5293 Issued in NJ
Legal business name
MANCHESTER BRICK VISION CENTER
Practice address
359 Brick Blvd
Brick, NJ 08723-6010
Phone
(732) 920-1330
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marie Smith
Title
Ms.
Phone
(732) 920-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X NJ5293 NJ Primary

Addresses

Primary practice location

359 Brick Blvd
Brick, NJ 08723-6010

Mailing address

359 Brick Blvd
Brick, NJ 08723-6010
Phone (732) 920-1330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1184779688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236010",
            "telephone_number": "732-920-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236010",
            "telephone_number": "732-920-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER BRICK VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "MS.",
        "authorized_official_telephone_number": "732-920-1330"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ5293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.