Individual
JONATHAN J DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1206 ROUTE 72 W, MANAHAWKIN, NJ 08050-2414
(609) 597-8087
(609) 597-7192
Mailing address
1206 ROUTE 72 W, MANAHAWKIN, NJ 08050-2414
(609) 597-8087
(609) 597-7192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00505500
NJ
152W00000X
Optometrist
27OM00013700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045402
AETNA
NJ
05
—
0099937
—
NJ
01
—
0448874000
AMERIHEALTH
NJ
01
—
1066306
HORIZON NJ HEALTHCARE
NJ
01
—
13738
SPECTERA
NJ
01
—
191112
AMERIGROUP
NJ
01
—
1K6864
HEALTHNET
NJ
01
—
27OA00505500
NJ LICENSE
NJ
01
—
311078
NVA
NJ
01
—
3429901000
AMERIHEALTH
NJ
01
—
38180
DAVIS VISION
NJ
01
—
6021624
CIGNA
NJ
05
—
7497806
—
NJ
01
—
P00616550
RAILROAD TRAVELERS
NJ
Enumeration date
06/22/2005
Last updated
11/13/2019
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