Active NPI
Robert J Manoli OD and Associates PC
- Optometrist
- Rio Grande, NJ
National Provider Identifier
1790702710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ROBERT J MANOLI OD AND ASSOCIATES PC
- Practice address
- 3159 RT. 9 South
Walmart Vision Center
Rio Grande, NJ 08242-1012 - Phone
- (609) 465-7552
- Fax
- (609) 465-7704
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Joseph Manoli, OD
- Title
- President
- Phone
- (609) 465-7552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3159 RT. 9 South
Walmart Vision Center
Rio Grande, NJ 08242-1012
Mailing address
3159 RT. 9 South
Rio Grande, NJ 08242-1012
Phone (609) 465-7552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44427 | Other | PA | DAVIS VISION |
| 117672 | Other | PA | HIGHMARK BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
3150 Route 9 S
Rio Grande, NJ 08242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306800000000",
"number": "1790702710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 RT. 9 SOUTH",
"city": "RIO GRANDE",
"state": "NJ",
"postal_code": "082421012",
"telephone_number": "609-465-7552",
"fax_number": "609-465-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3159 RT. 9 SOUTH",
"address_2": "WALMART VISION CENTER",
"city": "RIO GRANDE",
"state": "NJ",
"postal_code": "082421012",
"telephone_number": "609-465-7552",
"fax_number": "609-465-7704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT J MANOLI OD AND ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2011-05-31",
"status": "A",
"authorized_official_last_name": "MANOLI",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-465-7552",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "44427",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "117672",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, NJ
- Qpharma Inc (AtlantiCare Urgent Care Rio Grande)
- Jillian Rauchut, PMHNP-BC
- Regenerative Medicine of South Jersey LLC (Active Spine and Joint Institute)
- Helen Margaret Renyo
- Timothy Joseph Renyo, D
- Kevin Roberts, BA
- Elise Marie Rohana, APN-C
- Louvens Romain, MD
- Victoria Summer Rose, M.D.
- Gerard Rosenberg, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.