Jenise M. Mancini O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1463 Issued in VA

Legal business name

JENISE M. MANCINI O.D., P.C.

Practice address

45 Doc Stone Rd
101
Stafford, VA 22556-4555

Phone

(540) 720-2020

Fax

(540) 288-2020

NPI assigned

Aug 10, 2007

Last updated

Aug 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Mancini

Title

Business Manager

Phone

(703) 851-7178

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jenise Koziol Mancini Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenise Mancini, O.D.

  • Optometrist
  • Stafford, VA
  • NPI 1528184447
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1235321563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DOC STONE RD",
            "address_2": "101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564555",
            "telephone_number": "540-720-2020",
            "fax_number": "540-288-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DOC STONE RD",
            "address_2": "101",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564555",
            "telephone_number": "540-720-2020",
            "fax_number": "540-288-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENISE M. MANCINI O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "MANCINI",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "703-851-7178"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "1463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jenise Koziol Mancini",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Renee Cox Jacobs, M.S., CCC-SLP
• Katie Marie Jagmin, PA-C
• Hawah Nenneh Jalloh
• Abigail Daria James
• Katherine Jefferson, CCC-SLP
• Kaylin Renee Jennings-Knight
• Brian Peter Jennings, LCSW
• Jeran Health Care Services, LLC
• Angel Karisma Joel, CERTIFIED NURSE AID
• Candice Johnson

• Optometrist in Stafford, VA
• Providers in Stafford, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.