Active NPI
David L. Manzo, M.D., P.C.
Doing business as Manzo Eye Care
- Eyewear Supplier
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- DAVID L. MANZO, M.D., P.C.
- Doing business as
- Manzo Eye Care
- Practice address
- 621 W 11 Mile Rd
Royal Oak, MI 48067-2201 - Phone
- (248) 541-4200
- Fax
- (248) 541-4969
- NPI assigned
- Dec 7, 2007
- Last updated
- Dec 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David L Manzo, M.D.
- Title
- President
- Phone
- (248) 541-4200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
621 W 11 Mile Rd
Royal Oak, MI 48067-2201
Mailing address
621 W 11 Mile Rd
Royal Oak, MI 48067-2201
Phone (248) 541-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4113369 | Other | MI | AETNA |
| 4229975 TYPE 10 | Medicaid | MI |
Other names 1
- Manzo Eye Care
National Provider Directory
National Provider DirectoryLocations
27776 Woodward Ave
Royal Oak, MI 48067
Phone (248) 541-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Royal Oak, MI
- NPI 1386648103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323820800000",
"number": "1336322783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W 11 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672201",
"telephone_number": "248-541-4200",
"fax_number": "248-541-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W 11 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672201",
"telephone_number": "248-541-4200",
"fax_number": "248-541-4969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID L. MANZO, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2011-12-14",
"status": "A",
"authorized_official_last_name": "MANZO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-541-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4113369",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4229975 TYPE 10",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Manzo Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Royal Oak, MI
- Julie Davenport, CRC, LPC
- Melanie Joy Davenport, LMSW, CLINICAL
- David a Decker MD (Cancer Care Associates PC)
- David E. Beneson D.P.M., P.C.
- David L Manzo MD PC
- David Sinawi, PLLC (Complete Spine And Joint Center)
- David Vandam LLC
- Eric Matthew David, LLMSW
- Andrew Edward Davidek, DO
- Cheryl J Davidge, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.