Active NPI
Manahawkin Vision Inc.
Doing business as Eyesf First Vision Center
- Optometrist
- Manahawkin, NJ
National Provider Identifier
1982751939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00426400
- Legal business name
- MANAHAWKIN VISION INC.
- Doing business as
- Eyesf First Vision Center
- Practice address
- 733 Route 72 W
Manahawkin, NJ 08050-2839 - Phone
- (609) 597-0250
- Fax
- (609) 597-0252
- NPI assigned
- Jan 4, 2007
- Last updated
- Dec 17, 2012
- 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
- Mrs. Darleen McGlaughlin
- Title
- Office Manager
- Phone
- (609) 597-0250
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00427900 | NJ | |
| Optometrist | 152W00000X | 27OA00426400 | NJ | Primary |
Addresses
Primary practice location
733 Route 72 W
Manahawkin, NJ 08050-2839
Mailing address
733 Route 72 W
Manahawkin, NJ 08050-2839
Phone (609) 597-0250
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2533201 | Medicaid | NJ | |
| K16299 | Other | NJ | DR. SHISSIAS HEALTHNET ID |
| NJ4264 | Other | NJ | EYEMED GROUP NUMBER |
| 4501820 | Other | NJ | DR. MELTZER AETNA ID |
| 6952208 | Medicaid | NJ | |
| EYEF01296 | Other | NJ | SPECTERA GROUP NUMBER |
| NJ04264 | Other | NJ | VBA GROUP NUMBER |
Other names 1
- Eyesf First Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
733 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-0250
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Manahawkin, NJ
- NPI 1699342113
-
- Optometrist
- Voorhees, NJ
- NPI 1255421202
-
- Optometrist
- Margate City, NJ
- NPI 1770584625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1982751939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 ROUTE 72 W",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502839",
"telephone_number": "609-597-0250",
"fax_number": "609-597-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 ROUTE 72 W",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080502839",
"telephone_number": "609-597-0250",
"fax_number": "609-597-0252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAHAWKIN VISION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "MCGLAUGHLIN",
"authorized_official_first_name": "DARLEEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "609-597-0250",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00427900",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00426400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2533201",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. SHISSIAS HEALTHNET ID",
"identifier": "K16299",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED GROUP NUMBER",
"identifier": "NJ4264",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. MELTZER AETNA ID",
"identifier": "4501820",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6952208",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA GROUP NUMBER",
"identifier": "EYEF01296",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA GROUP NUMBER",
"identifier": "NJ04264",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyesf First Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.