Active NPI
Douglas R. Manhire, OPTICIAN
- Optician
- Hackettstown, NJ
National Provider Identifier
1295746204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D-775
- Practice address
- 171 Mountain Ave
Hackettstown, NJ 07840-2418 - Phone
- (908) 852-6623
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D-775 | NJ | Primary |
Addresses
Primary practice location
171 Mountain Ave
Hackettstown, NJ 07840-2418
Mailing address
PO Box 308
Vienna, NJ 07880-0308
Phone (908) 852-6623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39513 | Other | NJ | DAVIS VISION |
| 2908107 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-775 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1295746204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "VIENNA",
"state": "NJ",
"postal_code": "078800308",
"telephone_number": "908-852-6623"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANHIRE",
"first_name": "DOUGLAS",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "D-775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"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 Feb 5, 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.