Manchester Eye Care Center, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4901003224 Issued in MI

Legal business name

MANCHESTER EYE CARE CENTER, P.C.

Practice address

110 Riverside Dr
Manchester, MI 48158-9776

Phone

(734) 428-2020

Fax

(734) 428-8955

NPI assigned

May 6, 2008

Organization subpart

No

Name

Dr. Julie Ann Marvin-Manders, O.D.NPI 1295782415

Title

Owner

Phone

(734) 428-2020

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie A Marvin-Manders, O.D.

  • Optometrist
  • Manchester, MI
  • NPI 1295782415

  MI

  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Joy Humphrey, OD

  • Optometrist
  • Manchester, MI
  • NPI 1265300511

  MI

  Medicare reassignment Care Compare group NPD
• Michelle Danko, OD

  • Optometrist
  • Chelsea, MI
  • NPI 1477073682

  MI

  Medicare reassignment NPD
• Felicia Slate, OD

  • Optometrist
  • Grand Rapids, MI
  • NPI 1033648894

  MI

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2008.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1003082447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RIVERSIDE DR",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589776",
            "telephone_number": "734-428-2020",
            "fax_number": "734-428-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RIVERSIDE DR",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589776",
            "telephone_number": "734-428-2020",
            "fax_number": "734-428-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER EYE CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MARVIN-MANDERS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-428-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4901003224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larock Dental
• Aaron Larock, DDS
• Tara Lauer
• Barbara Madaj
• Barbara Maisano, LMT
• Julie A Marvin-Manders, O.D.
• Katherine Ann McClure, MSW, LMSW
• Pamela Sue McClure, M.A. CCC-SLP
• Leo Vasserot Merle VI, DDS
• Moriah Enrichment Center, LLC

• All providers in Manchester, MI
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.