Manette Sandoval LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MANETTE SANDOVAL LLC

Doing business as

manette sandoval enterprise

Practice address

44 Sherman Ave
New York, NY 10040-1104

Phone

(212) 781-1057

Fax

(212) 781-7359

NPI assigned

Aug 4, 2017

Last updated

Aug 4, 2017By 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

Kenny Maneete, OD

Title

Optometrist

Phone

(212) 781-1057

Specialties & licenses 1

Addresses

Other names 1

• manette sandoval enterprise Doing business as

Locations

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1801311493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 74TH ST APT 1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734109",
            "telephone_number": "212-781-1057",
            "fax_number": "212-781-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SHERMAN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401104",
            "telephone_number": "212-781-1057",
            "fax_number": "212-781-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANETTE SANDOVAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "MANEETE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "212-781-1057",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "manette sandoval enterprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Manes
• Carter Benjamin Maness, LCSW
• Christopher Alan Maness, LCSW
• Anastasios Manessis, MD
• Maithili Manessis, D.P.T
• Julian L Manetti-Cusa, PSY.D.
• Alan Manevitz, M.D.
• David Jacob Manfre, M.S., OTR/L
• Cheryl M. Manfredi, LCSW
• Douglas Manfredi, M.D.

• Eyewear Supplier in New York, NY
• Providers in New York, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.