Manter Optometric, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MANTER OPTOMETRIC, LLC

Doing business as

H Rubin Vision Center

Practice address

1057 Broad St Ste 1
Sumter Mall
Sumter, SC 29150-2567

Phone

(803) 775-7877

Fax

(803) 934-0547

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Steven K Dean, OPTOMETRISTNPI 1619955788

Title

Owner

Phone

(803) 775-7877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• H Rubin Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Steven K Dean, OD

  • Optometrist
  • Sumter, SC
  • NPI 1619955788
  Medicare reassignment NPD Authorized official
• Bernard Arnold, OD

  • Optometrist
  • North Charleston, SC
  • NPI 1235155292
  Medicare reassignment NPD

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1295713980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST STE 1",
            "address_2": "SUMTER MALL",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502567",
            "telephone_number": "803-775-7877",
            "fax_number": "803-934-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST STE 1",
            "address_2": "SUMTER MALL",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502567",
            "telephone_number": "803-775-7877",
            "fax_number": "803-934-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTER OPTOMETRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-775-7877",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D11379",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H Rubin Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Family Practice LLC
• Abhishek Malkan
• Jonathan Malone, PTA/ATC
• Scarlett Manchin, FNP
• Jamie Ann Manko, LPC
• Wendy L Marean, FNP-C
• Richard Ernest Marian, CAC/NCAC-II./MAC/SAP
• Richard S Marks, DMD
• Ashley Deon Martin, MSW, MHA
• Frank Foster Martin, MD FACP

• Optometrist in Sumter, SC
• Providers in Sumter, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.