John A Mannik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003263 Issued in MI

Practice address

1088 S Bailey Ave
Suite B
South Haven, MI 49090-9728

Phone

(269) 637-1442

Fax

(269) 637-3801

NPI assigned

Jul 8, 2005

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jalan Mannik Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Haven Eyecare AssociatesGroup PAC ID 5496872681, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Haven Eyecare Associates

  • Optometrist
  • South Haven, MI
  • NPI 1083744379
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1003814500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 S BAILEY AVE",
            "address_2": "SUITE B",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909728",
            "telephone_number": "269-637-1442",
            "fax_number": "269-637-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 S BAILEY AVE",
            "address_2": "SUITE B",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909728",
            "telephone_number": "269-637-1442",
            "fax_number": "269-637-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIK",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3238512",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JALAN",
            "last_name": "MANNIK",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Michael Liscow, M.D.
• Nicholas Loafman, D.O
• Andrea Slifer Loder, M.D.
• Macdonald Drug Store Inc
• Norman M Maly, D.D.S.
• Mark Sobor, MD
• Kathleen Martinez
• Alicia Massenburg
• Sharon Massey
• Ronald Maxwell Masters, D.C.

• Optometrist in South Haven, MI
• Providers in South Haven, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.