Individual
DR. JILL JENNIFER RODIO-VIVADELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9701 VENTNOR AVE, MARGATE CITY, NJ 08402-2222
(609) 822-4242
(609) 822-3211
Mailing address
9701 VENTNOR AVE, MARGATE CITY, NJ 08402-2222
(609) 399-6102
(609) 399-4424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00133400
NJ
152W00000X
Optometrist
OEG001688
PA
152W00000X
Optometrist
TUV006807
NY
152WC0802X
Corneal and Contact Management Optometrist
27OA00593800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046825
—
NJ
01
—
P00443901
RAILROAD MEDICARE
NJ
Enumeration date
01/30/2006
Last updated
12/19/2018
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