Organization Active NPI

Manahawkin Vision Inc.

Doing business as Eyesf First Vision Center

  • Optometrist
  • Manahawkin, NJ
National Provider Identifier
1982751939
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00426400 Issued in NJ
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2533201MedicaidNJ
K16299OtherNJDR. SHISSIAS HEALTHNET ID
NJ4264OtherNJEYEMED GROUP NUMBER
4501820OtherNJDR. MELTZER AETNA ID
6952208MedicaidNJ
EYEF01296OtherNJSPECTERA GROUP NUMBER
NJ04264OtherNJVBA GROUP NUMBER

Other names 1

  • Eyesf First Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120801000014 NJ Part B Supplier - Clinic/Group Practice 4385764323 Receives reassigned benefits from 3 practitioners
Practice locations: Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.