Individual provider Active NPI

Justin Thomas Mans, O.D.

  • Optometrist
  • Florence, OR
National Provider Identifier
1205034865
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3223ATI Issued in OR
Practice address
535 9TH St
Florence, OR 97439
Phone
(541) 997-3331
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3223ATI 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 3

IdentifierTypeStateIssuer
139325OtherORPTAN
006330MedicaidOR
R0000WCYBXOtherORGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20071030000227 OR Practitioner - Optometry 4486741014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond G Mans OD PCGroup PAC ID 1557332459, 3 clinicians

Practice addresses (Care Compare)

535 9TH St
Florence, OR 97439-7388
Phone (541) 997-3331

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3223ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond G. Mans, OD PC Optometrist CurrentSince Jul 31, 2007 Accepting new patients
Raymond G. Mans, OD PC Optometrist CurrentSince Jul 31, 2007 Accepting new patients

Locations

535 9th St
Florence, OR 97439
Phone (503) 997-3331

780 Winchester Ave
Reedsport, OR 97467
Phone (503) 271-2312

Organizations & group practices 2

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1205034865",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANS",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3223ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "139325",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006330",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "R0000WCYBX",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.