Jenise Mancini, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1463 Issued in VA

Practice address

45 Doc Stone Rd
101
Stafford, VA 22556-4555

Phone

(540) 720-2020

Fax

(540) 288-2020

NPI assigned

Mar 22, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jenise Koziol Mancini Other name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jenise M. Mancini O.D., P.C.

  • Optometrist
  • Stafford, VA
  • NPI 1235321563
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1528184447",
    "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": {
        "last_name": "MANCINI",
        "first_name": "JENISE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "1463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENISE",
            "last_name": "MANCINI",
            "middle_name": "KOZIOL",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul James Makin
• Tasha Yi Malachi
• Matthew Thomas Malanga
• Carl Malmquist IV
• Elizabeth Ann Malsam, R.PH.
• Diana Mandujano Mendez
• Rebecca M Mani, LCSW
• Tammy Maniscalco, FNP
• Manners Health Services Corporation (Manners Health Transprotation Services)
• Annette Anthonia Manzano, LPC

• 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 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.