Kenneth David Manning, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA00377100 Issued in NJ

Practice address

3849 S Delsea Dr
C/O Sears Optical
Vineland, NJ 08360-7408

Phone

(732) 671-0050

Fax

(732) 671-0056

NPI assigned

Sep 6, 2006

Last updated

Jul 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1750484846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5186",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087545186",
            "telephone_number": "732-671-0050",
            "fax_number": "732-671-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 S DELSEA DR",
            "address_2": "C/O SEARS OPTICAL",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607408",
            "telephone_number": "732-671-0050",
            "fax_number": "732-671-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA00377100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler M Malench, PHARMD
• Robert Malfara, DMD
• Heather Malia
• Zain Malik, DO
• Carmelita C Mangalindan, MD
• Christie L Mannino, M.D.
• Daniel John Mantell, PA-C
• David Adam Mapow, M.D.
• Larry Mapow, M.D.
• Maps Surgical Arts LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.