Robert Joseph Manoli, OD OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00446400 Issued in NJ

Practice address

3159 Route 9 S
Rio Grande, NJ 08242-1012

Phone

(609) 465-7552

Fax

(609) 465-7704

NPI assigned

Jul 18, 2006

Last updated

May 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert J Manoli OD and Associates PC

  • Optometrist
  • Rio Grande, NJ
  • NPI 1790702710
  Authorized official Same address or phone

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306540800000",
    "number": "1285652974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 ROUTE 9 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421012",
            "telephone_number": "609-465-7552",
            "fax_number": "609-465-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 ROUTE 9 S",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421012",
            "telephone_number": "609-465-7552",
            "fax_number": "609-465-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLI",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "OD  OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0EG001354",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00446400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "117672",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "44427",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ludwikowski, RPH
• Luxottica of America Inc (Pearle Vision #C6865)
• Caroline Magnual, APN-C
• Josephine H. Mahoney, RPH
• Floriza Mangulabnan
• Denay L Marino, D.O.
• Julia Mastalski
• Loren M McCutcheon
• Sarah Jane McHale, PA-C
• Lisa McMearty-Westog

• Optometrist in Rio Grande, NJ
• Providers in Rio Grande, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; 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.