Active NPI
Manay Clark, O.D.
- Optometrist
- Birmingham, AL
National Provider Identifier
1235291915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S715-TA340
- Practice address
- 5335 Highway 280
Birmingham, AL 35242-5317 - Phone
- (205) 980-0841
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | S715-TA340 | AL | Primary |
Addresses
Primary practice location
5335 Highway 280
Birmingham, AL 35242-5317
Mailing address
PO Box 203
Birmingham, AL 35201-0203
Phone (205) 913-8747
Other names 1
- Dr. Manay Pool
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S715-TA340 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235291915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352010203",
"telephone_number": "205-913-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5335 HIGHWAY 280",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425317",
"telephone_number": "205-980-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MANAY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S715-TA340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANAY",
"last_name": "POOL",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.