Individual provider Active NPI

John Manard, O.D.

  • Optometrist
  • New Lexington, OH
National Provider Identifier
1154734788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6298 Issued in OH
Practice address
391 Lincoln Park Dr
New Lexington, OH 43764-1080
Phone
(740) 342-1784
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6298 OH Primary

Addresses

Primary practice location

391 Lincoln Park Dr
New Lexington, OH 43764-1080

Mailing address

391 Lincoln Park Dr
New Lexington, OH 43764-1080
Phone (740) 342-1784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20191230000366 MD Practitioner - Optometry 2769607795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Vision CareGroup PAC ID 1254783038, 4 clinicians

Practice addresses (Care Compare)

2 Frederick St
Cumberland, MD 21502-2652
Phone (301) 777-7777

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as group
Quality
76.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6298OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Hanlen and Associates, LLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Lifetime Vision Care Optometrist CurrentSince Feb 28, 2024 Accepting new patients
Fries Eye Care, LLC Optometrist PastSince Jun 23, 2014 Accepting new patients
Optometric Management Group LLC Optometrist PastSince Jun 23, 2014 Accepting new patients

Locations

2 Frederick St
Cumberland, MD 21502
Phone (301) 722-4000

Interoperability endpoints

  • Direct secure messaging: jmanard@direct.revolutionehr.com

Organizations & group practices 4

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154734788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 LINCOLN PARK DR",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641080",
            "telephone_number": "740-342-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LINCOLN PARK DR",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641080",
            "telephone_number": "740-342-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANARD",
        "first_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

Verify at the official NPI Registry.