Rodio-Vivadelli, Jill Jennifer

Rodio-Vivadelli, Jill Jennifer is an individual health care provider with primary practice located at 9701 Ventnor Ave , Margate City NJ 08402-2222. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Rodio-Vivadelli, Jill Jennifer can be contacted via phone (609) 822-4242.

Contact Information

Primary practice address
9701 Ventnor Ave Margate City NJ 08402-2222
Phone: (609) 822-4242
Fax: (609) 822-3211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV006807 New York
Eye and Vision Services Providers / Optometrist 152W00000X OEG001688 Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 27OA00593800 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00133400 New Jersey

Profile Details

NPI number 1134190127
LBN Legal business name Rodio-Vivadelli, Jill Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134190127 NPPES
New Jersey Other P00443901 RAILROAD MEDICARE
New Jersey MEDICAID 0046825 RAILROAD MEDICARE

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