Organization Active NPI

David L. Manzo, M.D., P.C.

Doing business as Manzo Eye Care

  • Eyewear Supplier
  • Royal Oak, MI
National Provider Identifier
1336322783
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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.NPI 1386648103
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4113369OtherMIAETNA
4229975 TYPE 10MedicaidMI

Other names 1

  • Manzo Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.