Individual provider Active NPI

Manisha Suresh Chand

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1316750888
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35909 Issued in CA
Practice address
2307 Birch St
Palo Alto, CA 94306-1602
Phone
(650) 323-6772
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35909 CA Primary

Addresses

Primary practice location

2307 Birch St
Palo Alto, CA 94306-1602

Mailing address

1221 E Hillsdale Blvd
Foster City, CA 94404-1214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250214000515 CA Practitioner - Optometry 0345770715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Optometry Partners Optometrist CurrentSince Jan 31, 2025 Accepting new patients

Locations

2307 Birch St
Palo Alto, CA 94306
Phone (650) 323-6772

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1316750888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E HILLSDALE BLVD",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 BIRCH ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061602",
            "telephone_number": "650-323-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAND",
        "first_name": "MANISHA",
        "middle_name": "SURESH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.