Julie A Marvin-Manders, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003224 Issued in MI

Practice address

110 Riverside Dr
Manchester, MI 48158-9776

Phone

(734) 428-2020

Fax

(734) 428-8955

NPI assigned

May 31, 2006

Last updated

Dec 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manchester Eye Care Center, P.C.Group PAC ID 3678648409, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manchester Eye Care Center, P.C.

  • Clinic/Center
  • Manchester, MI
  • NPI 1003082447
  Medicare reassignment Care Compare group NPD Authorized official
• Mid Michigan Eye Care Center, PC

  dba Specialty Eye Institute

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1295782415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PENTECOST HWY",
            "city": "ONSTED",
            "state": "MI",
            "postal_code": "492659604",
            "telephone_number": "734-260-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RIVERSIDE DR",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589776",
            "telephone_number": "734-428-2020",
            "fax_number": "734-428-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN-MANDERS",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL",
            "identifier": "H16788001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Larock, DDS
• Tara Lauer
• Barbara Madaj
• Barbara Maisano, LMT
• Manchester Eye Care Center, P.C.
• Katherine Ann McClure, MSW, LMSW
• Pamela Sue McClure, M.A. CCC-SLP
• Leo Vasserot Merle VI, DDS
• Moriah Enrichment Center, LLC
• Peaceful Mind Counseling Services LLC

• Optometrist in Manchester, MI
• Providers in Manchester, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.