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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134190127 | NPPES |
New Jersey | Other | P00443901 | RAILROAD MEDICARE |
New Jersey | MEDICAID | 0046825 | RAILROAD MEDICARE |
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