Active NPI
Thomas Louis Manzo, M.D.
- Ophthalmology Physician
- Pottstown, PA
National Provider Identifier
1073515888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD-016446-E
- Practice address
- 1329 E High St
Pottstown, PA 19464-4949 - Phone
- (610) 326-4044
- Fax
- (610) 326-6901
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD-016446-E | PA | Primary |
Addresses
Primary practice location
1329 E High St
Pottstown, PA 19464-4949
Mailing address
1329 E High St
Pottstown, PA 19464-4949
Phone (610) 326-4044
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0045453000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 2804 | Other | PA | AETNA |
| 5438468 | Other | PA | CIGNA |
| 0622314 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-016446-E | PA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1073515888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 E HIGH ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194644949",
"telephone_number": "610-326-4044",
"fax_number": "610-326-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 E HIGH ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194644949",
"telephone_number": "610-326-4044",
"fax_number": "610-326-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZO",
"first_name": "THOMAS",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD-016446-E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0045453000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2804",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5438468",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0622314",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.