Wayne a Muck, O.D.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3009 Issued in NJ

Legal business name

WAYNE A MUCK, O.D.

Practice address

222 South St
Freehold, NJ 07728-2619

Phone

(732) 462-0177

Fax

(732) 462-5680

NPI assigned

Apr 1, 2008

Last updated

Jun 19, 2008By 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

Dr. Wayne A Muck, O.D.

Title

Owner

Phone

(732) 462-0177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1578735338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOUTH ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282619",
            "telephone_number": "732-462-0177",
            "fax_number": "732-462-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282619",
            "telephone_number": "732-462-0177",
            "fax_number": "732-462-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE A MUCK, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MUCK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-462-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.