Individual provider Active NPI

Karissa Manko, OD

  • Optometrist
  • Allison Park, PA
National Provider Identifier
1023623410
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003725 Issued in PA
Practice address
2384 Ferguson Rd
Allison Park, PA 15101-3550
Phone
(412) 486-1043
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003725 PA Primary

Addresses

Primary practice location

2384 Ferguson Rd
Allison Park, PA 15101-3550

Mailing address

76 Orchard View Rd
Wexford, PA 15090-9323
Phone (724) 766-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20201118002711 PA Practitioner - Optometry 9335550516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bittner Vision AssociatesGroup PAC ID 9032156997, 5 clinicians

Practice addresses (Care Compare)

2384 Ferguson Rd
Allison Park, PA 15101-3550
Phone (412) 486-1043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003725PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bittner Vision Associates Optometrist CurrentSince Oct 26, 2020 Accepting new patients

Locations

2384 Ferguson Rd
Allison Park, PA 15101
Phone (412) 486-1043

Interoperability endpoints

  • Direct secure messaging: drkmanko@bittnervision.eyeclinicdirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1023623410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ORCHARD VIEW RD",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909323",
            "telephone_number": "724-766-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 FERGUSON RD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013550",
            "telephone_number": "412-486-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKO",
        "first_name": "KARISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

Verify at the official NPI Registry.