Individual provider Active NPI

Theresa Marlene Coppolino-Landino, OPHTHALMIC DISPENSER

  • Optician
  • Newton, NJ
National Provider Identifier
1982550869
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
31TD00328100 Issued in NJ
Practice address
11 Fredon Marksboro Rd
Newton, NJ 07860-5013
Phone
(973) 216-5188
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 31TD00328100 NJ Primary

Addresses

Primary practice location

11 Fredon Marksboro Rd
Newton, NJ 07860-5013

Mailing address

11 Fredon Marksboro Rd
Newton, NJ 07860-5013
Phone (973) 216-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31TD00328100NJMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1982550869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FREDON MARKSBORO RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078605013",
            "telephone_number": "973-216-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FREDON MARKSBORO RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078605013",
            "telephone_number": "973-216-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLINO-LANDINO",
        "first_name": "THERESA",
        "middle_name": "MARLENE",
        "credential": "OPHTHALMIC DISPENSER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NJ",
            "license": "31TD00328100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.