Individual provider Active NPI

Julie Anne Manry, O.D.

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1326000423
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002938A Issued in IN
Practice address
7232 Engle Rd
Fort Wayne, IN 46804-2222
Phone
(260) 436-7205
Fax
(260) 432-1339
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002938A IN Primary

Addresses

Primary practice location

7232 Engle Rd
Fort Wayne, IN 46804-2222

Mailing address

7232 Engle Rd
Fort Wayne, IN 46804-2222
Phone (260) 436-7205

Other identifiers 1

IdentifierTypeStateIssuer
201068060MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120608000272 IN Practitioner - Optometry 0345404034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10186 Dupont Circle Dr E
Fort Wayne, IN 46825-1638
Phone (260) 436-7205

7232 Engle Rd
Fort Wayne, IN 46804-2222
Phone (260) 436-7205

Merit-based Incentive Payment System (MIPS)

Final score
92.94 of 100Reported as group
Quality
90.32
Promoting interoperability
100
Improvement activities
40
Cost
86.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002938AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Consultants of Fort Wayne, P.C. Optometrist CurrentSince Jul 1, 2012 Accepting new patients
Ophthalmology Consultants of Fort Wayne PC CurrentSince Jul 1, 2012 Accepting new patients
Ophthalmology Consultants of Fort Wayne, P.C. Optometrist Past Accepting new patients

Locations

7232 Engle Rd
Fort Wayne, IN 46804
Phone (219) 436-7205

10186 DuPont Circle Dr E
Fort Wayne, IN 46825
Phone (219) 436-7205

Interoperability endpoints

  • Direct secure messaging: jmanry@ophc.emadirect.md

Organizations & group practices 3

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1326000423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042222",
            "telephone_number": "260-436-7205",
            "fax_number": "260-432-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042222",
            "telephone_number": "260-436-7205",
            "fax_number": "260-432-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRY",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002938A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201068060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.