NPIMap

Organization Active NPI

Manhire Opticians LLC

  • Optometrist
  • Hackettstown, NJ
National Provider Identifier
1366981243
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00543000 Issued in NJ
Legal business name
MANHIRE OPTICIANS LLC
Practice address
171 Mountain Ave
Hackettstown, NJ 07840-2418
Phone
(908) 852-6623
Fax
(908) 852-2334
NPI assigned
Feb 13, 2017
Last updated
Mar 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Douglas R Manhire, LICENSED OPTICIANNPI 1295746204
Title
Owner
Phone
(908) 852-6623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00543000 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 2

IdentifierTypeStateIssuer
2908107MedicaidNJ
39513OtherNJDAVIS

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1366981243",
    "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": "MANHIRE OPTICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "MANHIRE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-852-6623",
        "authorized_official_credential": "LICENSED OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00543000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2908107",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "39513",
            "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 10, 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.