NPIMap

Organization Active NPI

Raymond G. Mans, OD PC

  • Optometrist
  • Florence, OR
National Provider Identifier
1184774440
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1206ATI Issued in OR
Legal business name
RAYMOND G. MANS, OD PC
Practice address
535 9TH St
Florence, OR 97439
Phone
(541) 997-3331
Fax
(541) 997-9439
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dr. Raymond Gene Mans, ODNPI 1457339954
Title
President
Phone
(541) 997-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1206ATI OR Primary

Addresses

Primary practice location

535 9TH St
Florence, OR 97439

Mailing address

PO Box 277
Florence, OR 97439-0010
Phone (541) 997-3331

Other identifiers 6

IdentifierTypeStateIssuer
R00WCYBXBOtherORMEDICARE
R0000WCYBXOtherORMEDICARE
R00WCYBXAOtherORMEDICARE
139325OtherORPTAN
410027916OtherORPALMETTO GBA
R00WCYBXCOtherORMEDICARE

Other names 1

  • FLORENCE REEDSPORT EYE CLINICS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040804000557 OR Part B Supplier - Clinic/Group Practice 1557332459 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Florence, OR; Reedsport, OR
O20100930027498 OR DME Supplier - Physician - Optometrist 1557332459 Practice locations: Florence, OR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Florence Eye Clinic535 9TH St, Florence, OR 97439-0000(541) 997-3331 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Reedsport Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

108 N 7th St
Reedsport, OR 97467
Phone (541) 271-2312

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1184774440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974390010",
            "telephone_number": "541-997-3331",
            "fax_number": "541-997-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "97439",
            "telephone_number": "541-997-3331",
            "fax_number": "541-997-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND G. MANS, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "MANS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-997-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1206ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R00WCYBXB",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R0000WCYBX",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R00WCYBXA",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "139325",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "410027916",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R00WCYBXC",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORENCE REEDSPORT EYE CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.