Organization Active NPI

Spare Pair III Inc.

  • Optometrist
  • Manalapan, NJ
National Provider Identifier
1952584153
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5021 Issued in NJ
Legal business name
SPARE PAIR III INC.
Practice address
357 US Hwy 9
Manalapan, NJ 07726-3284
Phone
(732) 972-2221
Fax
(732) 972-1195
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. John A Collini, ODNPI 1952390536
Title
VP
Phone
(732) 972-2221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5021 NJ Primary

Addresses

Primary practice location

357 US Hwy 9
Manalapan, NJ 07726-3284

Mailing address

357 US Highway 9
Manalapan, NJ 07726-3284
Phone (732) 972-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100525000577 NJ Part B Supplier - Clinic/Group Practice 8022147313 Receives reassigned benefits from 4 practitioners
Practice locations: Manalapan, NJ
O20100930040242 NJ DME Supplier - Physician - Optometrist 8022147313 Practice locations: Manalapan, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Spare Pair III Inc.357 US Highway 9, Manalapan, NJ 07726-3284(732) 972-2221 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Dec 31, 2009

National Provider Directory

National Provider Directory

Locations

357 US Highway 9
Manalapan, NJ 07726
Phone (732) 641-3364

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1952584153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 US HIGHWAY 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263284",
            "telephone_number": "732-972-2221",
            "fax_number": "732-972-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 US HWY 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263284",
            "telephone_number": "732-972-2221",
            "fax_number": "732-972-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARE PAIR III INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "COLLINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "732-972-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.