Organization
MANHIRE OPTICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS R MANHIRE LICENSED OPTICIAN (OWNER)
(908) 852-6623
Entity
Organization
Contact information
Practice address
171 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2418
(908) 852-6623
(908) 852-2334
Mailing address
171 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2418
(908) 852-6623
(908) 852-2334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00543000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2908107
—
NJ
01
—
39513
DAVIS
NJ
Enumeration date
02/13/2017
Last updated
03/10/2017
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