Individual provider Active NPI

Steven A Manello, OD

  • Optometrist
  • Canton, OH
National Provider Identifier
1386613453
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3036/T946 Issued in OH
Practice address
3730 Whipple Ave NW
Suite 100
Canton, OH 44718
Phone
(330) 493-3937
Fax
(330) 493-3110
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3036/T946 OH Primary

Addresses

Primary practice location

3730 Whipple Ave NW
Suite 100
Canton, OH 44718

Mailing address

3730 Whipple Ave NW
Suite 100
Canton, OH 44718
Phone (330) 493-3937

Other identifiers 1

IdentifierTypeStateIssuer
0347860MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3036/T946OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ba Doering Eyecare LLC Optometrist Past Accepting new patients
Accent on Eyes, LLC Optometrist PastSince Sep 1, 2014 Accepting new patients

Organizations & group practices 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1386613453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 WHIPPLE AVE NW",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-493-3937",
            "fax_number": "330-493-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 WHIPPLE AVE NW",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-493-3937",
            "fax_number": "330-493-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANELLO",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3036/T946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.