Robert Manahan, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROBERT MANAHAN, LLC

Practice address

535 Fortune Dr Ste 200
Papillion, NE 68046-3428

Phone

(402) 934-9033

Fax

(402) 934-9506

NPI assigned

Nov 22, 2017

Last updated

Nov 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert G Manahan, MDNPI 1043264062

Title

Owner

Phone

(402) 934-9033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 2

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.

• Robert G Manahan, M.D.

  • Ophthalmology Physician
  • Papillion, NE
  • NPI 1043264062
  Medicare reassignment NPD Authorized official
• Celia R Manahan, M.D.

  • Ophthalmology Physician
  • Papillion, NE
  • NPI 1073566816
  NPD

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1346754660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR STE 200",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463428",
            "telephone_number": "402-934-9033",
            "fax_number": "402-934-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FORTUNE DR STE 200",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463428",
            "telephone_number": "402-934-9033",
            "fax_number": "402-934-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MANAHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "MANAHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-934-9033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie S. Riss
• Elizabeth Ann Riva
• Maria Rivera de Downey
• Jessica Rivera, D.C.
• Tisha Rivera
• Sharon Vasugi Selvaraj Robert-Draayer
• Amanda Cathryn Roberts
• Janet Roberts
• Alyssa Robles
• Miguel Rodriguez Huerta

• Ophthalmology Physician in Papillion, NE
• Providers in Papillion, NE by specialty
• Ophthalmology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.