Organization Active NPI

Mancine Optical Company

  • Optician
  • Delran, NJ
National Provider Identifier
1861660508
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
NJ1048 Issued in NJ
Legal business name
MANCINE OPTICAL COMPANY
Practice address
2910 Route 130
Delran, NJ 08075-2522
Phone
(856) 764-0200
Fax
(856) 764-1414
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Clifford G Mancine
Title
Vice President
Phone
(856) 764-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X NJ1048 NJ Primary

Addresses

Primary practice location

2910 Route 130
Delran, NJ 08075-2522

Mailing address

2910 Route 130
Delran, NJ 08075-2522
Phone (856) 764-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1861660508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 ROUTE 130",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752522",
            "telephone_number": "856-764-0200",
            "fax_number": "856-764-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 ROUTE 130",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752522",
            "telephone_number": "856-764-0200",
            "fax_number": "856-764-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCINE OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MANCINE",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "856-764-0200"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "NJ1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.