Individual
MR. DOUGLAS R. MANHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
171 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2418
(908) 852-6623
Mailing address
PO BOX 308, VIENNA, NJ 07880-0308
(908) 852-6623
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D-775
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2908107
—
NJ
01
—
39513
DAVIS VISION
NJ
Enumeration date
08/11/2006
Last updated
02/05/2008
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