Donna Marie Malloy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00529300 Issued in NJ

Practice address

1021 Route 70
Manchester, NJ 08759-5804

Phone

(732) 657-1400

Fax

(732) 657-1402

NPI assigned

Nov 1, 2006

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

New England College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Physicians of Middletown PAGroup PAC ID 8527153410, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometric Physicians of Middletown PA

  dba Eyes First Vision Center

  • Optometrist
  • Middletown, NJ
  • NPI 1457354037
  Medicare reassignment Care Compare group NPD
• Manchester Brick Vision Center 2

  • Optometrist
  • Manchester, NJ
  • NPI 1285789719
  NPD Authorized official
• TR Vision Center

  • Optometrist
  • Toms River, NJ
  • NPI 1639224892
  NPD (past) Authorized official
• Manchester Brick Vision Center

  • Optometrist
  • Brick, NJ
  • NPI 1184779688
  NPD
• Optometric Physicians of Middletown PA

  dba Clarkson Eyecare

  • Optometrist
  • Toms River, NJ
  • NPI 1801474960
  NPD
• Optometric Physicians of Middletown PA

  dba Clarkson Eyecare

  • Optometrist
  • Manchester, NJ
  • NPI 1639751225
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1659458958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2089444",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753205804",
            "telephone_number": "636-200-4393",
            "fax_number": "732-657-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 ROUTE 70",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595804",
            "telephone_number": "732-657-1400",
            "fax_number": "732-657-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "359 Brick Blvd",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087236010",
            "country_code": "US",
            "telephone_number": "732-920-1330",
            "fax_number": "732-920-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00529300",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ 5293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6239404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Leone, RPH
• Little Achievers ABA KS LLC
• Little Achievers ABA Ut LLC
• Veronica Lyte, M.D.
• Hannah Macauley
• Manchester Brick Vision Center 2
• Manchester Ped Day HLTH SVCS
• Manchester Pediatric Medical Day Care
• Manchester Township
• Nicholas Mancini

• Optometrist in Manchester, NJ
• Providers in Manchester, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.