Matthew William Manry, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

DR.0060309 Issued in CO

Practice address

1400 Dry Creek Dr
Longmont, CO 80503

Phone

(303) 772-3300

Fax

(303) 682-3380

NPI assigned

May 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of South Florida College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Center of Northern Colorado, PCGroup PAC ID 6507834181, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longmont United Hospital Hospital, Longmont, CO, CCN 060003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmanry@eccnc.intellechartdirect.net

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.

• Eye Care Center of Northern Colorado, PC

  • Ophthalmology Physician
  • Longmont, CO
  • NPI 1740314483
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  Care Compare affiliation

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1366735243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80503",
            "telephone_number": "303-772-3300",
            "fax_number": "303-682-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRY",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0060309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000163774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Manchester, PHARMD
• Troy L Manchester, M.D.
• Konoy Mandal, MD
• Tanya Renee Mander, MOT, OTR/L
• Jacquelyn Mannhard
• Jesseca Manson, PHD, LPC, NCC, RPT
• Jonathan Hugh Manto, P.A.
• Mapleton OT
• Lori Lieberman Maran, M.D.
• Maranda Stone LLC

• Retina Specialist (Ophthalmology) Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Retina Specialist (Ophthalmology) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.