Active NPI
Charles N Marley, OPTICIAN
- Optician
- Millville, NJ
National Provider Identifier
1629194451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- TD0006350
- Practice address
- 1101 N 2ND St
Millville, NJ 08332-2539 - Phone
- (856) 825-4242
- Fax
- (856) 825-4242
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | TD0006350 | NJ | Primary |
Addresses
Primary practice location
1101 N 2ND St
Millville, NJ 08332-2539
Mailing address
923 Hill LN
Millville, NJ 08332-1540
Phone (856) 305-1389
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 |
|---|---|---|---|
| TD0006350 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230681600000",
"number": "1629194451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 HILL LN",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083321540",
"telephone_number": "856-305-1389",
"fax_number": "856-825-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N 2ND ST",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322539",
"telephone_number": "856-825-4242",
"fax_number": "856-825-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "CHARLES",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2008-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "TD0006350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.